Deborah Ruth Rosen, AMFT
Individual provider Active NPI Marriage & Family Therapist · Walnut Park, CA
NPI 1215684352 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1215684352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AMFT114547 (CA)
- Practice address
- 2542 E Florence Ave Ste H
Walnut Park, CA 90255-4774 - Phone
- (323) 372-1281
- Fax
- (323) 372-1282
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT114547 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detour Behavioral Health, Inc. | Current |
Accepting new patients |
Locations
2542 E Florence Ave
Ste H
Walnut Park, CA 90255
Phone (323) 372-1281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT114547 | CA | Yes |
Addresses
Primary practice location
2542 E Florence Ave Ste H
Walnut Park, CA 90255-4774
Mailing address
763 N Pasadena Ave
Pasadena, CA 91103-3228
Phone (626) 390-3506
Other providers in Walnut Park, CA
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- Alejandra Rodriguez
- Ariel Cruz Rodriguez
- Christian Alain Rodriguez
- Luis A Rosado
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- Sura Pediatric Specialist, Inc
- Tammy Terry
All providers in Walnut Park, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.