Individual
DR. KEITH ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLESEX, CT 06457
(860) 347-9911
(860) 347-8120
Mailing address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLESEX, CT 06457
(860) 347-9911
(860) 347-8120
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1719
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00414087800
—
CT
01
—
0567535
UHC
—
01
—
060001719CT01
BLUE CROSS
—
01
—
1037571
CIGNA
—
01
—
157460
MHN
—
01
—
163070
VALUE OPTIONS
—
01
—
4257498
AETNA
CT
01
—
708160
MAGELLAN
—
01
—
P664410
OXFORD
—
Enumeration date
07/12/2006
Last updated
07/08/2007
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