Healthcare Provider Details
I. General information
NPI: 1992618367
Provider Name (Legal Business Name): ROER PSYCHOLOGY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HARRISON AVE # 54
AUBURN CA
95603-4224
US
IV. Provider business mailing address
100 HARRISON AVE # 54
AUBURN CA
95603-4224
US
V. Phone/Fax
- Phone: 415-307-4448
- Fax:
- Phone: 415-307-4448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BARRIE
JASON
ROER
Title or Position: PSYCHOLOGIST, PRESIDENT
Credential: PSY.D.
Phone: 415-307-4448