229 BILLERICA RD
CHELMSFORD, MA 01824-3603 US PECOS Enrolled
Overview
Gary S Rose is a Clinical Psychologist in the CHELMSFORD area and has over 30 years of experience. Gary S Rose primary office location is at 229 BILLERICA RD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1205850013 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 3515 | MA |
| 839 | ME |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Psychologist - Taxonomy Code 103TC0700X | MA | Y |
| Clinical Psychologist - Taxonomy Code 103TC0700X | ME | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20060914000283 |
| PECOS Individual PAC ID: | 6002810553 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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