Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP T ROSKOS, PHD
Active Sole ProprietorClinical Neuropsychologist · DEARBORN, MI
Registration Details
- NPI Number
- 1821312430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2010 (16.074894086253 yrs)
- Last Updated
- Sep 30, 2022
- Licenses
-
2008035687 (MO)2008035687 (MO)6301015810 (MI)2008035687 (MO)6301015810 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18181 OAKWOOD BLVD STE 411DEARBORN, MI, 481244082Browse MI providers · Browse ZIP 48124
- Phone
- 3139825150
- Fax
- 3139825157
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Rehabilitation Psychologist
- Additional Specialty
- Clinical Neuropsychologist
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.