Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHIRLEY GRACE ROARK, PH.D.
Active Sole ProprietorClinical Psychologist · INDIO, CA
Registration Details
- NPI Number
- 1417003104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.275539316317 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY17934 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83203 INDIO BLVDSUITE 2INDIO, CA, 922014700Browse CA providers · Browse ZIP 92201
- Phone
- 7603421420
- Fax
- 7603421429
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in INDIO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID LEE LUNDQUIST | PH.D. | 1679675102 |
| DR. JULIE A MADSEN | PSY.D. | 1619063104 |
| SEHAM SABA | — | 1912323999 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.