Provider Demographics
NPI:1205844412
Name:ROHRER, PHILIP A
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:A
Last Name:ROHRER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 TREAT BLVD
Mailing Address - Street 2:SUITE T
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518
Mailing Address - Country:US
Mailing Address - Phone:925-686-2328
Mailing Address - Fax:925-689-3499
Practice Address - Street 1:4180 TREAT BLVD
Practice Address - Street 2:SUITE T
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518
Practice Address - Country:US
Practice Address - Phone:925-686-2328
Practice Address - Fax:925-689-3499
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32788106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist