National Provider Identifier
Gregory D Roeder, PHD
Gregory D Roeder, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 427-0270.
Profile Overview
- NPI
- 1063450245
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 02, 2006
- Last Updated
- April 19, 2016
Practice Location
- 200 White Spruce Blvd
- Suite 134
- Rochester, NY 14623-1605
Phone: (585) 427-0270
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1063450245
- Entity Type
- Individual
- Last Name
- Roeder
- First Name
- Gregory
- Middle Name
- D
- Credential
- PHD
- Mailing Street Address
- 200 White Spruce Blvd
- Mailing Address Line 2
- Suite 134
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1605
- Mailing Country
- US
- Mailing Phone
- (585) 427-0270
- Mailing Fax
- (585) 427-0270
- Practice Street Address
- 200 White Spruce Blvd
- Practice Address Line 2
- Suite 134
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1605
- Practice Country
- US
- Practice Phone
- (585) 427-0270
- Practice Fax
- (585) 427-0270
- Enumeration Date
- June 02, 2006
- Last Updated
- April 19, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 010008456 (NY, Excellus BCBS Rochester), 13071 (NY, Monroe Plan), P100267 (NY, Preferred Care)