Theresa Lynn Roush, MS THERAPIST

NPI #1972359420 in Leesburg, Florida

Provider Information

NPI Number: 1972359420
Entity Type: Individual
Name: Theresa Lynn Roush, MS THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: MS THERAPIST
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 515 W MAIN ST
City: Leesburg
State: Florida
ZIP Code: 34748-5148
Phone: (352) 842-9590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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