Dr Douglas Keith Roach, PH D is a
Counselor - Mental Health based in Dresden, Tennessee. Dr Douglas Keith Roach is licensed to practice in Florida (license number MH0003450) and his current practice location is
195 Hunt St, Dresden, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 364-3739.
NPI number for Dr Douglas Keith Roach is 1811178940 and his current mailing address is 195 Hunt St, Dresden, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811178940.
Healthcare Provider's Profile
| Full Name | Dr Douglas Keith Roach |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 195 Hunt St, Dresden, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811178940
- Provider Enumeration Date: 11/16/2007
- Last Update Date: 11/16/2007
Medical Identifiers
Medical identifiers for Dr Douglas Keith Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811178940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH0003450 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas Keith Roach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas Keith Roach, PH D
195 Hunt St,
Dresden, TN 38225-1851
Ph: (731) 364-3739 | Dr Douglas Keith Roach, PH D
195 Hunt St,
Dresden, TN 38225-1851
Ph: (731) 364-3739 |
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