Dr. Scott Tsai Roque, Ph.D.
Psychologist, Clinical in Mayaguez, PR. Individual provider (NPI-1).
NPI number1104656248
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1104656248
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Tsai Roque
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 4, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY12222 | FL | Yes |
| 103TC0700X | Psychologist, Clinical | 2612 | PR |
Practice location
Po Box 466Mayaguez, PR 00681-0466
Phone 939-641-0599
Mailing address
Po Box 466Mayaguez, PR 00681-0466
Phone 939-641-0599
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