Search › Rhode Island › 1041C0700X
Derrell Rose
NPI 1962109538 · on the registry since 2023 · sole proprietor
Practice
- Address
- 382 Thayer St
Providence, RI 02906 - Phone
- (401) 648-7172
- Fax
- (401) 648-0161
- Organisation at this address
- Center For Dynamic And Behavioral Therapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island