ROGER RATTAN


Address: 516 Troy Dr, Madison, WI 53704-1575
Phone: 6083350694

ROGER RATTAN (NPI# 1417348046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417348046
Entity Type Individual
Full Name ROGER RATTAN
Credential PHD
Practice Address 516 Troy Dr
Madison
WI 53704-1575
Practice Telephone 6083350694
Mailing Telephone 6083350694
Enumeration Date 2015-02-18
Last Update Date 2015-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
665-57 WI Behavioral Health & Social Service Providers

Office Location

Street Address 516 TROY DR
City MADISON
State WI
Zip Code 53704-1575

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City MADISON
Zip Code 53704

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Dataset Information

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.

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