Mary Ellen San Roman CADC

  • NPI 1831512284
According to our database, the NPI number for Mary Ellen San Roman CADC is 1831512284 and activated since 10 years ago. Mary Ellen San Roman CADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 762 Falls Ave, Twin Falls, ID 83301. You can also contact Mary Ellen San Roman CADC via telephone number is (208) 734-4200. Provider NPI information was last updated on 05/10/2017.

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Overview of Mary Ellen San Roman CADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/21/2014
  • Last updated: 05/10/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1024797
  • License State: ID

Provider Mailing Address

  • Address: 762 Falls Ave
    Twin Falls, ID 83301
  • Phone: 208-734-4200
  • Fax: 208-734-1404

Provider Practice Location

  • Address: 762 Falls Ave
    Twin Falls, ID 83301
  • Phone: 208-734-4200
  • Fax: 208-734-1404

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1024797
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1558606962
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Ellen San Roman CADC?
  • A: The npi number for Mary Ellen San Roman CADC is 1831512284.
  • Q: What are Mary Ellen San Roman CADC's specialties?
  • A: Mary Ellen San Roman CADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Mary Ellen San Roman CADC?
  • A: The medical license number for Mary Ellen San Roman CADC is 1024797 and issued in ID in USA.
  • Q: Where is Mary Ellen San Roman CADC practice location?
  • A: Mary Ellen San Roman CADC is practicing at 762 Falls Ave, Twin Falls, ID 83301.
  • Q: How to contact Mary Ellen San Roman CADC?
  • A: You can contact Mary Ellen San Roman CADC via 208-734-4200.