Organization
SAMUEL ROLL PHD AND ELIZABETH J ROLL PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL NMN ROLL PHD (PRESIDENT)
(505) 255-9494
Entity
Organization
Contact information
Practice address
201 TULANE SE, ALBUQUERQUE, NM 87106
(505) 255-9494
(505) 242-4763
Mailing address
1616 SAN PATRICIO SW, ALBUQUERQUE, NM 87104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
105
NM
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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