Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shirley Grace Roark, PHD

Individual provider Clinical Psychologist · NPI 1417003104

Dr. Shirley Grace Roark, PHD is a Clinical Psychologist in Indio, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

83203 Indio Blvd Ste 2
Indio, CA 92201-4700
Phone: (760) 342-1420
Fax: (760) 342-1429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY17934 (CA)

Record details

NPI number1417003104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007

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