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Contact Information

MICHELE A ROUSH, MA, RASI
1887 MONTEREY HWY STE 225
SAN JOSE, CA95112
 Phone: 408-706-6855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Behavior Technician

106S00000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MICHELE A ROUSH · (Female)

NPI Number 1194026294
Status Active
Credentials MA, RASI
Entity Individual
Enumeration date 11/05/2010
Last updated 07/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 2012668
  • CA Other ZZZ92069Z MEDICARE GROUP PTAN# SANTA CRUZ CA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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