Provider Demographics
NPI:1306057534
Name:ROLENS, CAROLINE GRIESER (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:GRIESER
Last Name:ROLENS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34830 BOGART DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93265-9164
Mailing Address - Country:US
Mailing Address - Phone:559-539-6426
Mailing Address - Fax:559-539-6426
Practice Address - Street 1:34830 BOGART DR
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:CA
Practice Address - Zip Code:93265-9164
Practice Address - Country:US
Practice Address - Phone:559-539-6426
Practice Address - Fax:559-539-6426
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY3950103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical