Roger Brian Storrs
Clinical Psychologist
9683 Tierra Grande St Ste 105
San Diego
, California 92126-6503
Roger Brian Storrs
Clinical Psychologist
9683 Tierra Grande St Ste 105
San Diego
, California 92126-6503
(858) 695-2237
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Roger Brian Storrs
- 9683 Tierra Grande St Ste 105
- San Diego, CA
- Zip : 92126-6503
- Phone : (858) 695-2237
Second Address
- Roger Brian Storrs
- 9683 Tierra Grande St Ste 105
- San Diego, CA
- Zip : 92126-6503
- Phone : (858) 695-2237
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY6992 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY6992 | CA |
National Provider Identifier
| NPI | 1013024611 |
|---|---|
| Provider Name | Roger Brian Storrs |
| First Address | San Diego, CA 92126-6503 |
| Second Address | San Diego, CA 92126-6503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PSY069922 | (05) | CA |
| R62073 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.