Individual provider · Type 1 NPI
Roger Alan Shortridge Iii, PRS
Peer Specialist · Akron, OH
NPI number
1114809936
Active
Practice location
690 Upson St
Akron, OH 44305-1523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | APS.006675 (OH) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1114809936
Roger Alan Shortridge Iii, PRS's National Provider Identifier is 1114809936, issued on Jul 23, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Akron, OH. The record was last updated on Jul 23, 2025.