Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHON M ROSE, PH.D.
Active Sole ProprietorDR. JONATHON M ROSE, PH.D. is a Adult Development & Aging Psychologist healthcare provider located in SAN MATEO, California. NPI 1154382380 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · SAN MATEO, CA
Registration Details
- NPI Number
- 1154382380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2006 (20.364934459664 yrs)
- Last Updated
- Jul 29, 2010
- Licenses
-
PSY12143 (CA)PSY12143 (CA)PSY12143 (CA)PSY12143 (CA)PSY12143 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
327 N SAN MATEO DRSUITE 3SAN MATEO, CA, 944012543Browse CA providers · Browse ZIP 94401
- Phone
- 6507034769
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- Health Service Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.