| John E. Roe, Ph.d., A Professional Corporation | |
|
4120 Cameron Park Dr Suite 301 Cameron Park CA 95682-7212 | |
| (530) 676-4555 | |
| (530) 676-4555 |
| Full Name | John E. Roe, Ph.d., A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 4120 Cameron Park Dr, Cameron Park, California |
| Authorized Official Name and Position | John E. Roe (PRESIDENT) |
| Authorized Official Contact | 5306764555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E. Roe, Ph.d., A Professional Corporation 4120 Cameron Park Dr Suite 301 Cameron Park CA 95682-7212 Ph: () - | John E. Roe, Ph.d., A Professional Corporation 4120 Cameron Park Dr Suite 301 Cameron Park CA 95682-7212 Ph: (530) 676-4555 |
| NPI Number | 1669603320 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669603320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 5769 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT 6551 (California) | Secondary |
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