| Doctor Name: | MR. ROGER EDWARD NILAND |
| NPI Number: | 1083868368 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.A.D.C. |
| License Number: | 000502 |
| Business Practice Address: | 22 Mohawk Dr Unionville, CT - 060851443 |
| Business Phone Number: | 8606735574 |
| Business Fax Number: | |
| Mailing Address: | 22 Mohawk Dr, UNIONVILLE |
| State: | CT |
| Postal Code: | 060851443 |
| Phone Number: | 8606735574 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2008 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |