Kenneth R Roughton PHD

NPI 1124178090 - Psychologist - 103TC0700X

NPI Details
NPI 1124178090
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
221 E WASHINGTON AVE
DAYTON WA, 99328-1317, US
Phone (509) 382-1164
Fax (509) 382-1166
Business Location
511 E RACE ST
DAYTON WA, 99328-1646, US
Phone (509) 382-1383
Fax (509) 382-1166
Toxanomy
Taxonomy Code 103TC0700X
License State Washington
License Number PY00002083
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According to our database, Mr. Kenneth R Roughton PHD NPI is 1124178090, taxonomy code is 103TC0700X and license number is PY00002083, license state is located at Washington. Kenneth R Roughton PHD physically located at 221 E Washington Ave, Dayton WA, 99328-1317. NPI Number Kenneth R Roughton PHD has the Individual type.

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1124178090 NPI number is provided on an as is basis without warranty of any kind. 1124178090 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R Roughton PHD are for informational purposes only.