Roe, John Ed

Roe, John Ed is an sole proprietor health care provider with primary practice located at 4120 Cameron Park Dr Suite 301, Cameron Park CA 95682-8480. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Roe, John Ed can be contacted via phone (530) 676-4445.

Contact Information

Primary practice address
4120 Cameron Park Dr Suite 301 Cameron Park CA 95682-8480
Phone: (530) 676-4445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 5769 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 6551 California

Profile Details

NPI number 1538361365
LBN Legal business name Roe, John Ed
Credentials PH.D., M.A., M.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated Mar 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538361365 NPPES
California Other 00PL57690 PTAN, MEDICARE

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