| NPI | 1760516660 |
|---|---|
| Former Legal Business Name | STEPHANIE A ROSS LICENSED CLINICAL PSYCHOLOGIST PC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A ROSS Owned 773-459-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006315) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |