| Dr Jessica Roane, PHD | |
|
3040 S Crater Rd Ste E, Petersburg, VA 23805-9247 | |
| (804) 731-6285 | |
| Not Available |
| Full Name | Dr Jessica Roane |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 3040 S Crater Rd Ste E, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992460737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810007506 (Virginia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Roane, PHD 3040 S Crater Rd Ste E, Petersburg, VA 23805-9247 Ph: (804) 731-6285 | Dr Jessica Roane, PHD 3040 S Crater Rd Ste E, Petersburg, VA 23805-9247 Ph: (804) 731-6285 |
Brooke Hirsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 E South Blvd, Petersburg, VA 23805 Phone: 804-720-9304 | |
Chitra Pidaparti, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Wakefield Ave, Petersburg, VA 23805 Phone: 804-862-6186 Fax: 804-862-6276 | |
Dr. David B Dameron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 561 High St, Petersburg, VA 23803 Phone: 804-760-8232 Fax: 508-433-1871 | |
Jennifer Lynn Sutherland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 | |
Cynthia Lynn Jenkins, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 561 High St, Petersburg, VA 23803 Phone: 804-760-8323 Fax: 508-433-1871 | |
Courtney Martin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 E South Blvd, Petersburg, VA 23805 Phone: 980-328-3524 | |
Dr. John Allen Davis Iii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1767 East Blvd, Petersburg, VA 23805 Phone: 804-518-4522 |