Rose, Susan Carol

Rose, Susan Carol is an individual health care provider with primary practice located at 16055 Ventura Blvd Ste 605, Encino CA 91436-2601. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Rose, Susan Carol can be contacted via phone (818) 788-6653.

Contact Information

Primary practice address
16055 Ventura Blvd Ste 605 Encino CA 91436-2601
Phone: (818) 788-6653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY8073 California

Profile Details

NPI number 1669461257
LBN Legal business name Rose, Susan Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers