Individual
DR. TERI ROLE-WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7681 TYLERS PLACE BLVD, SUITE 2, WEST CHESTER, OH 45069-6392
(513) 779-9298
(513) 779-9209
Mailing address
7681 TYLERS PLACE BLVD, SUITE 2, WEST CHESTER, OH 45069-6392
(513) 779-9298
(513) 779-9209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244991
ANTHEM PIN #
OH
01
—
117330000
MAGELLEN PROVIDER #
OH
01
—
50494
NATL HEALTH SVCE PROV #
OH
Enumeration date
07/27/2006
Last updated
07/09/2007
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