Provider Demographics
NPI:1891944419
Name:SANCHEZ, ROSLYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSLYN
Middle Name:
Last Name:SANCHEZ
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 1:11470 AZUCENA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2822
Mailing Address - Country:US
Mailing Address - Phone:301-913-4400
Mailing Address - Fax:
Practice Address - Street 1:707 CONSERVATION LN STE 300
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2983
Practice Address - Country:US
Practice Address - Phone:301-913-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23510103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical