Individual
WENDELL ALAN ROHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3242
(574) 523-7917
Mailing address
PO BOX 4667, SOUTH BEND, IN 46634-4667
(574) 523-3148
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20040843
IN
103TR0400X
Rehabilitation Psychologist
20040843
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20040843
STATE LICENSE
IN
Enumeration date
03/20/2007
Last updated
04/09/2009
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