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Deactivated NPI 1588700652 Deactivated / Inactive NPI Male Practitioner

Dr. Larry G Roe , EdD

Psychologist • College Station, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Roe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date September 13, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Roe, EdD was a registered Psychologist practicing in College Station, TX. Throughout an active medical career spanning 14 years, Dr. Roe provided care at the practice location at 207 ROCK PRAIRIE RD until profile deactivation on 2021-09-13.

Practice Location & Contact Primary Location

Practice Address

207 Rock Prairie Rd
Suite A-2

College Station, TX 778458777

Telephone 9796958118
Fax 9796947553
Associated Practice Facility / Clinic
🏢 Jamilia Blake Facility NPI 1225390594

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in College Station, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
21 Specialists

Practicing in College Station, TX (2266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 2-1955

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Beth Roe , MS, LPC, LMFT, NCC

Counselor - Professional

NPI 1538143920

Master of Science, Licensed Professional Counselor, Licensed Marriage and Family Therapist, National Certified Counselor

Cynthia Boyd , MS

Marriage & Family Therapist

NPI 1851440432

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2021

Record deactivated on September 13, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 207 ROCK PRAIRIE RD, SUITE A-2, COLLEGE STATION, TX 778458777 (Tel: 9796958118)

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Updated Business Mailing Address July 08, 2007

Registered at 207 ROCK PRAIRIE RD, SUITE A-2, COLLEGE STATION, TX 778458777 (Tel: 9796958118)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY ROE, ED.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2-1955 in TX)

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Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588700652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 08, 2007
Deactivation Date: September 13, 2021

Mailing Address

207 Rock Prairie Rd, Suite A-2

College Station, TX 778458777

Phone: 9796958118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.