Individual
DR. ROY WILLIAM JARNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
312 PROGRESS ST, SUITE 200, FREDERICKSBURG, VA 22401-3356
(540) 310-0797
(540) 310-0791
Mailing address
312 PROGRESS ST, SUITE 200, FREDERICKSBURG, VA 22401-3356
(540) 310-0797
(540) 310-0791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001069
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291435
ANTHEM
VA
01
—
5535256
AETNA
VA
05
—
7706987
—
VA
01
—
88390
SENTARA
VA
Enumeration date
06/27/2006
Last updated
07/08/2007
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