Healthcare Provider Details

I. General information

NPI: 1730534587
Provider Name (Legal Business Name): SUMMER ROLIN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7946 N LOOP 1604 W FL 1
SAN ANTONIO TX
78249-5174
US

IV. Provider business mailing address

7946 N LOOP 1604 W FL 1
SAN ANTONIO TX
78249-5174
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-6470
  • Fax: 210-567-5354
Mailing address:
  • Phone: 210-450-6470
  • Fax: 210-567-5354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number1409
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1409
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number38732
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: