Dr. Norman Werner Roach, Ph.D.
Psychologist, Clinical in Tustin, CA. Individual provider (NPI-1).
NPI number1881742005
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881742005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Norman Werner Roach
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | psy6594 | CA | Yes |
Practice location
190 El Camino Real RearTustin, CA 92780-3602
Phone 714-731-6644 · Fax 714-389-9329
Mailing address
190 El Camino Real RearTustin, CA 92780-3602
Phone 714-731-6644 · Fax 714-389-9329
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