| Doctor Name: | LIZBETH ROSA |
| NPI Number: | 1730484445 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 2810 |
| Business Practice Address: | Res Barrio Palmas 288 Colton Catano, PR - 009625900 |
| Business Phone Number: | 7877264643 |
| Business Fax Number: | |
| Mailing Address: | Po Box 50590, TOA BAJA |
| State: | PR |
| Postal Code: | 009500590 |
| Phone Number: | 7874357033 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2011 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 2810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |