William Roll is a Clinical in Bloomington, Indiana. William Roll practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Roll is 1427067297. The last update date is 2014-07-02.
William Roll's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123372438. The mailing address for William Roll is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Roll |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1427067297 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010331A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100474840 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Roll?
The William Roll has been issued the NPI (National Provider Identifier) 1427067297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where William Roll's facilities are situated?
The facilities of William Roll are physically located at the following address: 645 S Rogers St, Bloomington, IN, 474032353.
What is William Roll's specialized field of practice, and what is the corresponding taxonomy classification code?
The William Roll's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the William Roll receive the assignment of its 1427067297 from the Centers for Medicare & Medicaid Services?
The William Roll was issued its 1427067297 by the Centers for Medicare & Medicaid Services on 2006-08-07.
When was the William Roll's information last updated?
The William Roll's information was last updated on 2014-07-02.
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