Individual provider · Type 1 NPI
Stephen John Roeckeman, PSY.D.
Student in an Organized Health Care Education/Training Program · Wheaton, IL
NPI number
1669655064
Active
Practice location
2100 Manchester Rd
Wheaton, IL 60187-4579
Mailing address
851 College Ave
Wheaton, IL 60187-4309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1669655064
Stephen John Roeckeman, PSY.D.'s National Provider Identifier is 1669655064, issued on Dec 10, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wheaton, IL. The record was last updated on Dec 10, 2007.