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Contact Information

WANDA V ROSEN, PHD LCSW
4475 WOODLEY AVE
ENCINO, CA91436-3458
 Phone: 818-784-4438
 Fax: 818-528-7404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WANDA V ROSEN · (Female)

NPI Number 1881654499
Credentials PHD LCSW
Entity Individual
Enumeration date 03/27/2006
Last updated 02/04/2008 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
CA License # PSY15116
CA Medicaid PSY15116
CA Medicare (Unspecified) CP15116
Hospital affiliation(s) n/a
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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