John Ed Roe is a Psychologist in Cameron Park, California. John Ed Roe practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Ed Roe is 1538361365. The last update date is 2009-03-09.
John Ed Roe's current location address is 4120 Cameron Park Dr, Cameron Park, California. You can contact this provider via phone number 5306764445. The mailing address for John Ed Roe is 4120 Cameron Park Dr, Cameron Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ed Roe |
|---|---|
| Address | 4120 Cameron Park Dr, Cameron Park, California |
| Phone Number | 5306764445 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D., M.A |
NPI Number Detail
| NPI Number | 1538361365 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2009-03-09 |
Provider Mailing Address Detail
| Address | 4120 Cameron Park Dr |
|---|---|
| City | Cameron Park |
| State | California (CA) |
| Post Code | 956828480 |
| Phone Number | 5306764445 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 5769 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00PL57690 | CA | PTAN, MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to John Ed Roe by the Centers for Medicare & Medicaid Services?
The John Ed Roe has been issued the NPI (National Provider Identifier) 1538361365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John Ed Roe is physically located?
The John Ed Roe is physically situated at the following address: 4120 Cameron Park Dr, Cameron Park, CA, 956828480.
What is John Ed Roe's area of expertise and its corresponding taxonomy classification?
The John Ed Roe's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1538361365 to John Ed Roe?
The Centers for Medicare & Medicaid Services assigned the 1538361365 to John Ed Roe on 2007-06-04.
When was the information regarding John Ed Roe most recently updated?
The details pertaining to the John Ed Roe, including its address, specialty, and other relevant information, were last refreshed on 2009-03-09.
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