Roxanne Mae Rose in Devils Lake - Psychologist
Roxanne Mae Rose - NPI 1124084942
Roxanne Mae Rose is a Psychologist in Devils Lake, North Dakota. Roxanne Mae Rose practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roxanne Mae Rose is 1124084942. The last update date is 2012-02-02.
Roxanne Mae Rose's current location address is 217 Grandview Ave, Devils Lake, North Dakota. You can contact this provider via phone number 7016625590 and fax number 7016653252. The mailing address for Roxanne Mae Rose is 217 Grandview Ave, Devils Lake, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roxanne Mae Rose |
|---|---|
| Address | 217 Grandview Ave, Devils Lake, North Dakota |
| Phone Number | 7016625590 |
| Fax Number | 7016653252 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1124084942 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
| Address | 217 Grandview Ave |
|---|---|
| City | Devils Lake |
| State | North Dakota (ND) |
| Post Code | 583014123 |
| Phone Number | 7016625590 |
| Fax Number | 7016653252 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2096 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19124 | ND | -- | |
| 23117 | ND | BC/BC | |
| 24043 | ND | ND BC/BS | |
| 181620900 | MN | -- | |
| 284K8DA | MN | MN BC/BS | |
| N715569 | ND | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Roxanne Mae Rose by the Centers for Medicare & Medicaid Services?
The Roxanne Mae Rose has been issued the NPI (National Provider Identifier) 1124084942. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Roxanne Mae Rose's physical address?
The Roxanne Mae Rose is physically located at 217 Grandview Ave, in the city of Devils Lake, ND, with the postal code 583014123.
What is Roxanne Mae Rose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roxanne Mae Rose's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Roxanne Mae Rose receive the assignment of its 1124084942 from the Centers for Medicare & Medicaid Services?
The Roxanne Mae Rose was issued its 1124084942 by the Centers for Medicare & Medicaid Services on 2006-04-21.
As of what date was the information pertaining to Roxanne Mae Rose, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roxanne Mae Rose, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-02.
NPI Number: 1962405878
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