| James Roembke Jr Psyd Llc | |
|
111 Council St Frederick MD 21701-5412 | |
| (301) 620-8700 | |
| Not Available |
| Full Name | James Roembke Jr Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 111 Council St, Frederick, Maryland |
| Authorized Official Name and Position | James E. Roembke (SOLE MEMBER) |
| Authorized Official Contact | 3016208700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Roembke Jr Psyd Llc 3 Kline Blvd Frederick MD 21701-4019 Ph: (301) 620-8700 | James Roembke Jr Psyd Llc 111 Council St Frederick MD 21701-5412 Ph: (301) 620-8700 |
| NPI Number | 1720785207 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 5294100376 |
|---|---|
| Medicare Enrollment ID | O20230403000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720785207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | James E Roembke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285756767 PECOS PAC ID: 3173581329 Enrollment ID: I20041222000028 |
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