Provider Demographics
NPI:1750452223
Name:SNEED, ROSE FITZGERALD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:FITZGERALD
Last Name:SNEED
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ROSE
Other - Middle Name:F
Other - Last Name:SNEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:639 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3502
Mailing Address - Country:US
Mailing Address - Phone:415-867-4426
Mailing Address - Fax:415-800-0699
Practice Address - Street 1:1375 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2621
Practice Address - Country:US
Practice Address - Phone:415-689-5662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009786103T00000X
CAPSY25679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist