DR. Jonathan Dale Rosenboom, PSY.D.

NPI #1679716864 in Warsaw, Missouri

Provider Information

NPI Number: 1679716864
Entity Type: Individual
Name: DR. Jonathan Dale Rosenboom, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Apr 17, 2009
Last Updated: Mar 18, 2020

Practice Location

Address: 17571 N DAM ACCESS RD
City: Warsaw
State: Missouri
ZIP Code: 65355
Phone: (888) 403-1071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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Organizations

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