Provider Demographics
NPI:1942529979
Name:ANDREWS, ROXANA KAYE (PH D)
Entity Type:Individual
Prefix:DR
First Name:ROXANA
Middle Name:KAYE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:ALTURAS
Mailing Address - State:CA
Mailing Address - Zip Code:96101-3921
Mailing Address - Country:US
Mailing Address - Phone:530-233-7110
Mailing Address - Fax:530-233-5531
Practice Address - Street 1:139 HENDERSON ST
Practice Address - Street 2:
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-3921
Practice Address - Country:US
Practice Address - Phone:530-233-7110
Practice Address - Fax:530-233-5531
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22167103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical