Organization
JOHN E. ROE, PH.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. ROE PH.D. (PRESIDENT)
(530) 676-4555
Entity
Organization
Contact information
Practice address
4120 CAMERON PARK DR, SUITE 301, CAMERON PARK, CA 95682-7212
(530) 676-4555
(530) 676-4555
Mailing address
4120 CAMERON PARK DR, SUITE 301, CAMERON PARK, CA 95682-7212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 5769
CA
106H00000X
Marriage & Family Therapist
MFT 6551
CA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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