Provider Demographics
NPI:1588836993
Name:ROHER, DANIELA RODDA (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:RODDA
Last Name:ROHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1689 CAMINITO ASTERISCO
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7136
Mailing Address - Country:US
Mailing Address - Phone:480-229-6666
Mailing Address - Fax:
Practice Address - Street 1:7301 E SUNDANCE TRL UNIT B203
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-4298
Practice Address - Country:US
Practice Address - Phone:480-229-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1777101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor