Most Relevant Information
Provider Data
| NPI Number: | 1003439381 |
| Provider Name: | ROSA MARIA COLONNA PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 15111 |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 05/21/2020 |
Provider Practice Location
4000 LONG BEACH BLVD # 228
LONG BEACH
CA
908072617
Practice Location Phone/Fax
| Phone: | 8186322895 |
| Fax: |
Provider Mailing Location
7177 ALVERN ST APT 317
LOS ANGELES
CA
900452079
Provider Mailing Phone/Fax
| Phone: | 3107790207 |
| Fax: |