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Ciemone Rose, PH.D., HSPP, NCC — NPI 1376139949, Crown Point, IN | NPI Central

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NPI 1376139949

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Ciemone Rose, PH.D., HSPP, NCC

NPI 1376139949 · Psychologist · Crown Point, IN

Provider details

NPI number: 1376139949
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D., HSPP, NCC
Sex: Female
Sole proprietor: Yes
License: 20043067A (IN)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense 20043067A (IN)
Behavioral Health & Social Service Providers

Practice location

2100 N Main St Ste 304

Crown Point, IN 46307-1877

Phone: (574) 546-1900

Fax: (574) 546-1999

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

Po Box 10299

Fort Wayne, IN 46851-0299

Additional practice locations (1)

2780 Lakeshire Ln
Indianapolis, IN 46268-3219
Phone: (317) 674-3139

Registry dates

Enumerated: 2020-12-17
Last updated: 2021-02-01
Certified: 2021-02-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.