Provider Demographics
NPI:1477731107
Name:ROFFEY, ARTHUR EDWARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:EDWARD
Last Name:ROFFEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 W MAPLE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3716
Mailing Address - Country:US
Mailing Address - Phone:248-865-9416
Mailing Address - Fax:248-865-9509
Practice Address - Street 1:5640 W MAPLE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3716
Practice Address - Country:US
Practice Address - Phone:248-865-9416
Practice Address - Fax:248-865-9509
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002000103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F33110OtherBCBSM