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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN ED ROE JR., PH.D., M.A., M.A.

Active Sole Proprietor

DR. JOHN ED ROE JR., PH.D., M.A., M.A. is a Psychologist healthcare provider located in CAMERON PARK, California. NPI 1538361365 is currently active in the NPPES registry. Verify at CMS.

Psychologist · CAMERON PARK, CA

Registration Details

NPI Number
1538361365
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2007 (19.013251886385 yrs)
Last Updated
Mar 9, 2009
Licenses
PSY 5769 (CA)
MFT 6551 (CA)
Sole Proprietor
Yes

Practice Information

Address
4120 CAMERON PARK DR
SUITE 301
CAMERON PARK, CA, 956828480
Browse CA providers · Browse ZIP 95682
Phone
5306764445
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Marriage & Family Therapist

Other Psychologist Providers in CAMERON PARK, CA

Name Credential NPI
DR. DAVID L STEWART PH.D. 1699881201
MRS. DEBRA SOUZA PH.D. 1760871826
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.