Individual
DR. DEREK VON ROEMER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 DALE DRIVE, MH/MR BASE SERVICE UNIT, FRANKLIN, PA 16323
(814) 671-8888
(814) 432-9128
Mailing address
PO BOX 1183, FRANKLIN, PA 16323-5183
(814) 432-4355
(814) 432-9128
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005187L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01535160
—
PA
Enumeration date
11/16/2007
Last updated
03/29/2013
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