| NPI | 1760524243 |
|---|---|
| Former Name | PATRICIA RYAN ROGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04632) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04632) |
| 103TR0400X Psychologist, Rehabilitation (Licence: MD 04632) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-01-17 |