NPI 1538361365

John Ed Roe, PHDMAMA

Practitioner Psychologist Cameron Park, CA

Practice location

Address: 4120 Cameron Park Dr Suite 301, Cameron Park, CA 95682-8480
Phone: (530) 676-4445

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY 5769 (CA)

Other Psychologist providers in California →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT 6551 (CA)

Other Marriage & Family Therapist providers in California →

Registry record

NPI: 1538361365
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2007
Record last updated: 9 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.