Individual
DR. ALLEN ROACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1357 MONROE AVE, ROCHESTER, NY 14618-1005
(585) 442-9601
(585) 442-9606
Mailing address
1357 MONROE AVE, ROCHESTER, NY 14618-1005
(585) 442-9601
(585) 442-9606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005103143
AETNA PROVIDER #
NY
01
—
100204FC
PREFERRED CARE PROVIDER #
NY
Enumeration date
05/23/2006
Last updated
07/08/2007
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