Sheryl A Roach, Phd, Lpc Pc | |
717 N Beers St Ste 2b Holmdel NJ 07733-1525 | |
(732) 264-2440 | |
Not Available |
Full Name | Sheryl A Roach, Phd, Lpc Pc |
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Speciality | Counselor |
Location | 717 N Beers St Ste 2b, Holmdel, New Jersey |
Authorized Official Name and Position | Sheryl A Roach (DIRECTOR) |
Authorized Official Contact | 7322642440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sheryl A Roach, Phd, Lpc Pc 717 N Beers St Ste 2b Holmdel NJ 07733-1525 Ph: (732) 264-2440 | Sheryl A Roach, Phd, Lpc Pc 717 N Beers St Ste 2b Holmdel NJ 07733-1525 Ph: (732) 264-2440 |
NPI Number | 1033795554 |
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Provider Enumeration Date | 03/23/2021 |
Last Update Date | 05/10/2021 |
Certification Date | 05/10/2021 |
Medicare PECOS PAC ID | 3274983481 |
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Medicare Enrollment ID | O20240102000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033795554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Sheryl Ann Roach |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487290987 PECOS PAC ID: 4183074396 Enrollment ID: I20240102000537 |
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