DR. Ciemone Samatura Rose, PH.D., HSPP, NCC
NPI #1376139949 in Crown Point, Indiana
Provider Information
- NPI Number
- 1376139949
- Entity Type
- Individual
- Name
- DR. Ciemone Samatura Rose, PH.D., HSPP, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PH.D., HSPP, NCC
- Enumeration Date
- Dec 17, 2020
- Last Updated
- Feb 1, 2021
Practice Location
- Address
- 2100 N MAIN ST STE 304
- City
- Crown Point
- State
- Indiana
- ZIP Code
- 46307-1877
- Phone
- (574) 546-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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