Organization Name: | SYLVIA AN ROSS PHD LLC |
NPI Number: | 1801231121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SYLVIA AN ROSS (PSYCHOLOGIST) |
Mailing Address: | 81-6224 Mamalahoa Hwy B3 Captain Cook |
State: | HI US |
Postal Code: | 967048111 |
Phone Number: | 8089382260 |
Fax Number: | 8888051547 |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |