Individual
DR. MARK MANFRED ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
21 TRAMMEL ST. SW, PSYCHOLOGICAL CONSULTANTS OF MARIETTA PC, MARIETTA, GA 30064-3249
(770) 420-9448
(770) 420-9441
Mailing address
PO BOX 515, PSYCHOLOGICAL CONSULTANTS OF MARIETTA PC, MARIETTA, GA 30061-0515
(770) 420-9448
(770) 420-9441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00661691A
—
GA
Enumeration date
02/16/2007
Last updated
09/16/2008
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