Individual
REBECCA MARIE ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
310 E HEWITT AVE, SUITE C, GREENFIELD, MO 65661-1138
(417) 637-1476
(866) 520-5586
Mailing address
310 E HEWITT AVE, SUITE C, GREENFIELD, MO 65661-1138
(417) 637-1476
(866) 520-5586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2004037100
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497227124
—
MO
Enumeration date
11/30/2005
Last updated
01/14/2008
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