Provider Demographics
NPI:1891714663
Name:ROHR, HARRY WILLIAM (BCBA, LCSW)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:WILLIAM
Last Name:ROHR
Suffix:
Gender:M
Credentials:BCBA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 SORA RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-8867
Mailing Address - Country:US
Mailing Address - Phone:850-421-4115
Mailing Address - Fax:850-421-4378
Practice Address - Street 1:2967 NATURAL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:FL
Practice Address - Zip Code:32362
Practice Address - Country:US
Practice Address - Phone:850-421-4115
Practice Address - Fax:850-421-4378
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW40961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical