National Provider Identifier
Jeffrey Paul Roach, PH.D.
Jeffrey Paul Roach, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Tonawanda, NY and a listed phone number of (716) 836-9460.
Profile Overview
- NPI
- 1114949351
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 24, 2006
- Last Updated
- July 08, 2007
Practice Location
- 884 Brighton RD
- Tonawanda, NY 14150-8169
Phone: (716) 836-9460
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1114949351
- Entity Type
- Individual
- Last Name
- Roach
- First Name
- Jeffrey
- Middle Name
- Paul
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 884 Brighton RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8169
- Mailing Country
- US
- Mailing Phone
- (716) 836-9460
- Practice Street Address
- 884 Brighton RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8169
- Practice Country
- US
- Practice Phone
- (716) 836-9460
- Enumeration Date
- July 24, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)