Individual
DR. PATRICIA ANNE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., A.R.N.P.
Contact information
Practice address
4212 N 16TH STREET, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1637
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3315
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571522
—
AZ
01
—
AZ0620160
BCBS
AZ
Enumeration date
10/02/2006
Last updated
09/11/2025
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