Roger Barrett, PHD
Individual provider Active NPI Clinical Psychologist · Canton, OH
NPI 1124187828 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124187828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 818 (OH)
- Practice address
- 4572 Dressler Rd NW
Canton, OH 44718-2546 - Phone
- (330) 493-4220
- Fax
- (330) 493-8850
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Family Consultants, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 818 | OH | Yes |
Addresses
Primary practice location
4572 Dressler Rd NW
Canton, OH 44718-2546
Mailing address
4572 Dressler Rd NW
Canton, OH 44718-2546
Phone (330) 493-4220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000130020 | Other | OH | ANTHEM |
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.