MEDICARE: DR. ROBERT ARNOLD ROVNER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1151	MD

General Provider Information

NPI Number	:	1407887177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ARNOLD ROVNER PH.D.

Provider Business Mailing Address
First Line	:	31 W IRVING ST
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-4263
Country	:	US
Telephone Number	:	301-654-0515
Fax Number	:	301-657-8975

Provider Business Practice Location Address
First Line	:	6201 GREENBELT RD
Second Line	:	SUITE U-18
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2354
Country	:	US
Telephone Number	:	301-345-1919
Fax Number	:	301-345-5779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/09/2007

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