Individual provider · Type 1 NPI
Jeremy B. Roark, PhD
Psychologist · Ada, MI
Practice location
2650 Shumac Ln SE
Ada, MI 49301-9355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY 24012 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1578860193
Jeremy B. Roark, PhD's National Provider Identifier is 1578860193, issued on Feb 16, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Ada, MI. The record was last updated on Feb 1, 2024.