| Doctor Name: | DEBRA J ROIDL |
| NPI Number: | 1083638803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LISW |
| License Number: | 6801068715 |
| Business Practice Address: | 720 Corey St Maumee, OH - 435373610 |
| Business Phone Number: | 4193678835 |
| Business Fax Number: | 4198933828 |
| Mailing Address: | 720 Corey St, MAUMEE |
| State: | OH |
| Postal Code: | 435373610 |
| Phone Number: | 4198933588 |
| Fax Number: | 4198933828 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 05/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801068715 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |