Mr Kenneth R Roughton, PHD is a
Psychologist - Clinical based in Dayton, Washington. Mr Kenneth R Roughton is licensed to practice in Washington (license number PY00002083) and his current practice location is
221 E Washington Ave, Dayton, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 382-1164.
NPI number for Mr Kenneth R Roughton is 1124178090 and his current mailing address is 511 E Race St, Dayton, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124178090.
Healthcare Provider's Profile
Full Name | Mr Kenneth R Roughton |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 221 E Washington Ave, Dayton, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124178090
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Kenneth R Roughton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124178090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY00002083 (Washington) | 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. Mr Kenneth R Roughton 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 |
Mr Kenneth R Roughton, PHD 511 E Race St, Dayton, WA 99328-1646 Ph: (509) 382-1383 | Mr Kenneth R Roughton, PHD 221 E Washington Ave, Dayton, WA 99328-1317 Ph: (509) 382-1164 |
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