DR. Shirley Grace Roark, PH.D.

NPI #1417003104 in Indio, California

Provider Information

NPI Number: 1417003104
Entity Type: Individual
Name: DR. Shirley Grace Roark, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jan 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 83203 INDIO BLVD
Address 2: SUITE 2
City: Indio
State: California
ZIP Code: 92201-4700
Phone: (760) 342-1420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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