Individual
ROMAN MARCUS CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
265 E ROLLINS ST # 6, ORLANDO, FL 32804-5502
(407) 821-3584
Mailing address
265 E ROLLINS ST # 6, ORLANDO, FL 32804-5502
(407) 821-3584
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY10726
FL
103TC0700X
Clinical Psychologist
PY10726
FL
Other
Enumeration date
09/29/2010
Last updated
02/07/2024
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