Individual
DR. ABBEY ROSE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
220 ABRAHAM FLEXNER WAY, FRAZIER REHAB INSTITUTE-6TH FLOOR PSYCHOLOGY DPT., LOUISVILLE, KY 40202-3826
(502) 582-7484
(502) 582-7646
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 582-7484
(502) 582-7646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
129461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201351950 (KOHMG)
—
IN
05
—
7100162660
—
KY
Enumeration date
02/15/2011
Last updated
04/19/2018
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