Provider Demographics
NPI:1528347739
Name:ROSSER, LINDSAY ANNE (MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANNE
Last Name:ROSSER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 S ALMANSOR ST
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-5209
Mailing Address - Country:US
Mailing Address - Phone:626-720-4471
Mailing Address - Fax:
Practice Address - Street 1:2627 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-1639
Practice Address - Country:US
Practice Address - Phone:626-720-4471
Practice Address - Fax:626-766-1622
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist