| Doctor Name: | DR. MICHAEL RICHARD ROSE |
| NPI Number: | 1689626293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, PH.D. |
| License Number: | LCSW-3693 |
| Business Practice Address: | 4915 W Bell Rd Suite 202 Glendale, AZ - 853083425 |
| Business Phone Number: | 6023163529 |
| Business Fax Number: | 6234447643 |
| Mailing Address: | 6604 W Tonto Dr, GLENDALE |
| State: | AZ |
| Postal Code: | 853087026 |
| Phone Number: | 6023163529 |
| Fax Number: | 6234447643 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LCSW-3693 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| 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 |