Provider Demographics
NPI:1316988579
Name:ROHR, MICHAEL E (EDD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:ROHR
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 LAZENBY DR
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38068-5030
Mailing Address - Country:US
Mailing Address - Phone:901-569-0165
Mailing Address - Fax:901-466-9226
Practice Address - Street 1:550 LAZENBY DR
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-5030
Practice Address - Country:US
Practice Address - Phone:901-569-0165
Practice Address - Fax:901-466-9226
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE 1404103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities