Individual
DR. ERICK STEPHENSON ROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
800 IRVING AVE, BVAC (116B), SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 017771
NY
Other
Enumeration date
12/04/2007
Last updated
08/21/2008
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