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NPI Code Detail

MEDICARE: DR. LAURA ROSSI PH.D.

MEDICARE:  DR. LAURA  ROSSI  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) PsychologistPSY 22465CA

General Provider Information

NPI Number : 1295958874
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA ROSSI PH.D.
Provider Business Mailing Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number : 760-509-4410
Provider Business Practice Location Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number : 760-509-4410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 10/30/2024

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Directions to “ DR. LAURA ROSSI PH.D.” Practice Location

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