Provider Demographics
NPI:1922347392
Name:ROST, ANN D
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:D
Last Name:ROST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 W HUBBLE DR
Mailing Address - Street 2:PO BOX 256
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-1532
Mailing Address - Country:US
Mailing Address - Phone:417-859-7746
Mailing Address - Fax:417-859-7411
Practice Address - Street 1:541 W HUBBLE DR
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-1532
Practice Address - Country:US
Practice Address - Phone:417-859-7746
Practice Address - Fax:417-859-7411
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist