Individual
DR. JACQUELINE S ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2831 RINGLING BLVD., SUITE 206-C, SARASOTA, FL 34237-5351
(941) 951-1919
Mailing address
2831 RINGLING BLVD., SUITE 206-C, SARASOTA, FL 34237-5351
(941) 951-1919
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY7240
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7240
FL
103TC0700X
Clinical Psychologist
Primary
PY7240
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7240
FL
103TP2701X
Group Psychotherapy Psychologist
PY7240
FL
Other
Enumeration date
02/02/2009
Last updated
11/18/2015
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