National Provider Identifier

Debra C. Roach, PH.D.

Debra C. Roach, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 442-9601.

NPI 1598719965Rochester, NYClinical Psychologist

Profile Overview

NPI
1598719965
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
May 20, 2006
Last Updated
October 18, 2011

Practice Location

  • 1357 Monroe Ave
  • Rochester, NY 14618-1005

Phone: (585) 442-9601

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1598719965
Entity Type
Individual
Last Name
Roach
First Name
Debra
Middle Name
C.
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
1357 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1005
Mailing Country
US
Mailing Phone
(585) 442-9601
Mailing Fax
(585) 442-9606
Practice Street Address
1357 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-1005
Practice Country
US
Practice Phone
(585) 442-9601
Practice Fax
(585) 442-9606
Enumeration Date
May 20, 2006
Last Updated
October 18, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
0005694336 (NY, Aetna Provider #), P010008455 (NY, Excellus Provider #), 103240FC (NY, Preferred Care Provider #)