NPI 1396841565 · live from the CMS NPI Registry
George M De Roeck, PSY.D.
Psychologist in Jonesboro, AR. National Provider Identifier 1396841565, active.
NPI record
| NPI | 1396841565 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 308 W Monroe Ave, Jonesboro, AR 72401 |
| Practice phone | 870-972-4770 |
| Enumerated | September 15, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 84-7P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.