Organization Name: | IMAN J. ROSS, PHD, LPC, P.C. |
NPI Number: | 1437446507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IMAN J ROSS (PRESIDENT/FOUNDER) |
Mailing Address: | 1106 Santa Fe Trl Suite 2 Duncanville |
State: | TX US |
Postal Code: | 751373063 |
Phone Number: | 4692363999 |
Fax Number: | 4692934144 |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 99184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |