WAYNE LAWRENCE ROFFER (NPI# 1013037415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013037415 |
| Entity Type | Individual |
| Full Name | WAYNE LAWRENCE ROFFER |
| Credential | PSY.D. |
| Practice Address |
1700 S Lincoln Ave Lebanon PA 17042-7529 |
| Practice Telephone | 7172726621 |
| Mailing Telephone | 7172726621 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS016871 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016871 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1700 S LINCOLN AVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680015 | Michael L Heck Jr. | Nurse Anesthetist, Certified Registered | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2005-09-22 |
| 1972115806 | Carolyn L Ringler | Registered Nurse | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-21 |
| 1962014225 | Tracy Lukasiewicz | Optometrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-18 |
| 1821609512 | Ida Frances Carvell | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-14 |
| 1134730153 | Brandon Cory Vanderbrook | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-13 |
| 1588275671 | Emilie Shuler | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1578174637 | Sybil Irene Stambaugh | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1831700954 | Joseph Magnusson Jr. | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1275150559 | Alexa Nicole Spennato | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-02 |
| 1871110312 | Evan Cauterucci | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
| 1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
| 1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
| 1871992578 | Samantha Robin Wertheimer | Psychologist | 1202 Ash Lane, Lebanon, PA 17042-9626 | 2014-08-19 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1104048727 | Paul J Walker Sr. | Psychologist | 5787 St Route 63, Lebanon, OH 45036 | 2007-05-03 |
| 1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
| 1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on WAYNE LAWRENCE ROFFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.