MEDICARE: DR. PATRICIA A ROE 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	103T00000X	Psychologist	1897	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447323027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA A ROE PH.D.

Provider Business Mailing Address
First Line	:	1385 S COLORADO BLVD
Second Line	:	#A-322
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	303-757-1993
Fax Number	:	303-757-1994

Provider Business Practice Location Address
First Line	:	1385 S COLORADO BLVD
Second Line	:	#A-322
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	303-757-1993
Fax Number	:	303-757-1994

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	02/18/2011

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