Doctor Name: | ROLAND TOLIVER |
NPI Number: | 1184762080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COUNSELOR |
License Number: | 6535 |
Business Practice Address: | 750 Washington St Peekskill, NY - 105665426 |
Business Phone Number: | 9148625134 |
Business Fax Number: | |
Mailing Address: | 1103 Frost Ln, PEEKSKILL |
State: | NY |
Postal Code: | 105661903 |
Phone Number: | 9149955233 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6535 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |