DR. MARK MANFRED ROLAND (NPI# 1104960715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104960715 |
| Entity Type | Individual |
| Full Name | DR. MARK MANFRED ROLAND |
| Credential | PH.D. |
| Practice Address |
21 Trammel St. Sw Psychological Consultants of Marietta PC Marietta GA 30064-3249 |
| Mailing Address |
Po Box 515 Psychological Consultants of Marietta PC Marietta GA 30061-0515 |
| Practice Telephone | 7704209448 |
| Practice Fax Number | 7704209441 |
| Mailing Telephone | 7704209448 |
| Mailing Fax Number | 7704209441 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1872 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00661691A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699935163 | Mark Anthony Roland | Dentist | 101 W Northside Dr, Building D, Valdosta, GA 31602-1714 | 2008-06-09 |
| Street Address |
21 TRAMMEL ST. SW PSYCHOLOGICAL CONSULTANTS OF MARIETTA PC |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1053812537 | Carmen Julia Neyra | Psychologist | 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 | 2018-02-21 |
| 1467903609 | Alesya Korey | Psychologist | 821 Devonwood Trl Nw, Marietta, GA 30064-5439 | 2016-10-24 |
| 1174953780 | Marietta Associated Psychological Services Inc | Psychologist | 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 | 2013-11-18 |
| 1902248024 | Kavita Joshi Subrahmanian | Psychologist | 1778 Millhouse Run, Marietta, GA 30066-8012 | 2013-07-18 |
| 1154688877 | Terry A Crump | Psychologist | 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 | 2012-04-19 |
| 1710126461 | Susan Sevier Buffington | Psychologist | 4608 Lower Roswell Rd, Marietta, GA 30068-4237 | 2009-02-19 |
| 1962655324 | Kenneth C Molkner Md PC | Psychologist | 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 | 2008-10-29 |
| 1205044278 | Lisa Rubin | Psychologist | 282 Village Pkwy Ne, Marietta, GA 30067-4062 | 2007-05-21 |
| 1588876221 | Richard E. Shook, Ph.d., P.C. | Psychologist | 127 Cherry Street, Marietta, GA 30060 | 2007-05-04 |
| Find all providers in MARIETTA | ||||
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| 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.