Roger Keroack is a Psychologist in Gainesville, Florida. Roger Keroack practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roger Keroack is 1316992837. The last update date is 2007-07-08.
Roger Keroack's current location address is Shcc, 1 Fletcher Drive, Gainesville, Florida. You can contact this provider via phone number 3523921171. The mailing address for Roger Keroack is Shcc, 1 Fletcher Drive, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Keroack |
|---|---|
| Address | Shcc, 1 Fletcher Drive, Gainesville, Florida |
| Phone Number | 3523921171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1316992837 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Shcc, 1 Fletcher Drive |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326117500 |
| Phone Number | 3523921171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY2755 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Roger Keroack by the Centers for Medicare & Medicaid Services?
The Roger Keroack has been assigned the NPI (National Provider Identifier) 1316992837. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger Keroack?
The Roger Keroack is physically situated at Shcc, 1 Fletcher Drive, in the city of Gainesville, state of FL, with the postal code 326117500.
What is the area of specialization for Roger Keroack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Keroack is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When was the Roger Keroack's 1316992837 issued?
The Roger Keroack's 1316992837 was issued on 2006-05-23.
When was the information pertaining to Roger Keroack most recently updated or revised?
The details related to Roger Keroack, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL