Roller, Jacqueline S

Roller, Jacqueline S is an sole proprietor health care provider with primary practice located at 2831 Ringling Blvd. Suite 206-C, Sarasota FL 34237-5351. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roller, Jacqueline S can be contacted via phone (941) 951-1919.

Contact Information

Primary practice address
2831 Ringling Blvd. Suite 206-C Sarasota FL 34237-5351
Phone: (941) 951-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY7240 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY7240 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7240 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY7240 Florida
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY7240 Florida

Profile Details

NPI number 1033357785
LBN Legal business name Roller, Jacqueline S
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2009
Last updated Nov 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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