Individual provider · Type 1 NPI

Shirley Grace Roark, PhD

Clinical Psychologist · Indio, CA

NPI number 1417003104 Active

Practice location

83203 Indio Blvd, Suite 2
Indio, CA 92201-4700

Fax (760) 342-1429

Mailing address

3250 Wilshire Blvd, Suite 930
Los Angeles, CA 90010-1438

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY17934 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1417003104

Shirley Grace Roark, PhD's National Provider Identifier is 1417003104, issued on Jan 26, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Indio, CA. The record was last updated on Jul 8, 2007.