Provider Demographics
NPI:1497046239
Name:O'ROARTY PSYCHOLOGY AND CONSULTING, INC.
Entity Type:Organization
Organization Name:O'ROARTY PSYCHOLOGY AND CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'ROARTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-518-7275
Mailing Address - Street 1:3607 WILSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3231
Mailing Address - Country:US
Mailing Address - Phone:619-518-7275
Mailing Address - Fax:619-296-4553
Practice Address - Street 1:3607 WILSHIRE TER
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3231
Practice Address - Country:US
Practice Address - Phone:619-518-7275
Practice Address - Fax:619-296-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12719103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty