IndividualActive
Elizabeth Roethke, M.A.
NPI 1306809280 · Counseling Psychologist · Dallas, GA
Provider details
- NPI number
- 1306809280
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS006298L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
380 Ashbury Cir
Dallas, GA 30157-1443
Phone: (610) 861-0797
Approximate (ZIP-level) locationGet directions
Mailing address
380 Ashbury Cir
Dallas, GA 30157-1443
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.