Individual
DR. DORCAS LIRIANO ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2825 50TH ST, M.I.N.D. INSTITUTE, SACRAMENTO, CA 95817-2308
(916) 703-0267
Mailing address
2825 50TH ST, M.I.N.D. INSTITUTE, SACRAMENTO, CA 95817-2308
(916) 703-0267
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
21310
CA
103TC0700X
Clinical Psychologist
21310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1854704
MASSHEALTH
MA
01
—
P086604
BCBS
MA
Enumeration date
01/03/2007
Last updated
12/09/2008
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