Dr William Roll, | |
831 Dillon Dr, Richmond, IN 47374-8048 | |
(765) 983-8000 | |
(765) 983-8609 |
Full Name | Dr William Roll |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 831 Dillon Dr, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427067297 | NPI | - | NPPES |
100474840 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20010331A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Dr William Roll, 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Dr William Roll, 831 Dillon Dr, Richmond, IN 47374-8048 Ph: (765) 983-8000 |
Jordyn A Ansel, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Hub Etchison Pkwy, Richmond, IN 47374 Phone: 765-973-3300 | |
Robert L Bailey, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-935-3869 | |
Michael Woodin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1130 N J St, Richmond, IN 47374 Phone: 765-983-3298 Fax: 765-983-7970 | |
Dr. Aimee Renee Prater-richwine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Main St, Richmond, IN 47374 Phone: 765-935-7284 | |
Dr. Joshua Nolan, PSY.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 498 Nw 18th St, Richmond, IN 47374 Phone: 765-935-9319 | |
Dr. Mary Jean Schwendener-holt, PHD HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 103 N 15th St, Richmond, IN 47374 Phone: 765-966-8000 Fax: 765-966-8000 | |
Dr. Constance Beatrice Clodfelter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 498 Nw 18th St, Richmond State Hospital, Richmond, IN 47374 Phone: 765-935-9312 Fax: 765-935-9512 |