| Doctor Name: | DR. ANNE-OLIVIA SHELTON ROSE |
| NPI Number: | 1134259344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY 23097 |
| Business Practice Address: | 350 Bon Air Rd Suite 230 Greenbrae, CA - 949041752 |
| Business Phone Number: | 4157583726 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2905, SAN ANSELMO |
| State: | CA |
| Postal Code: | 949792905 |
| Phone Number: | 4157583726 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 23097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |