Rose, Mary W

Rose, Mary W is an individual health care provider with primary practice located at 400 N Texas Avenue Suite B, Webster TX 77598. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Sleep Specialist, PhD. Other Service Providers / Sleep Specialist, PhD is her primary health care specialty. Rose, Mary W can be contacted via phone (281) 316-8400.

Contact Information

Primary practice address
400 N Texas Avenue Suite B Webster TX 77598
Phone: (281) 316-8400
Fax: (281) 318-8410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31557 Texas
Other Service Providers / Sleep Specialist, PhD 173F00000X 3-1557 Texas

Profile Details

NPI number 1265525927
LBN Legal business name Rose, Mary W
Credentials PSY.D, C.B.S.M
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 1st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265525927 NPPES
Texas MEDICAID 147062701

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