| Doctor Name: | WAYNE LAWRENCE ROFFER |
| NPI Number: | 1013037415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PS016871 |
| Business Practice Address: | 1700 S Lincoln Ave Lebanon, PA - 170427529 |
| Business Phone Number: | 7172726621 |
| Business Fax Number: | |
| Mailing Address: | 1700 S Lincoln Ave, LEBANON |
| State: | PA |
| Postal Code: | 170427529 |
| Phone Number: | 7172726621 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PS016871 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |