Fredric Burton Roberts in Port Huron - Psychologist
Fredric Burton Roberts - NPI 1619963394
Fredric Burton Roberts is a Psychologist in Port Huron, Michigan. Fredric Burton Roberts practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Fredric Burton Roberts is 1619963394. The last update date is 2015-01-16.
Fredric Burton Roberts's current location address is 1025 Huron Ave, Port Huron, Michigan. You can contact this provider via phone number 8109844550 and fax number 8109873737. The mailing address for Fredric Burton Roberts is 1025 Huron Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredric Burton Roberts |
|---|---|
| Address | 1025 Huron Ave, Port Huron, Michigan |
| Phone Number | 8109844550 |
| Fax Number | 8109873737 |
| Sole Proprietor | Y |
| Credentials | ED D |
NPI Number Detail
| NPI Number | 1619963394 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2015-01-16 |
Provider Mailing Address Detail
| Address | 1025 Huron Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480603763 |
| Phone Number | 8109844550 |
| Fax Number | 8109873737 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301002615 |
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Definition: 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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680G445000 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Fredric Burton Roberts by the Centers for Medicare & Medicaid Services?
The Fredric Burton Roberts has been assigned the NPI (National Provider Identifier) 1619963394. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Fredric Burton Roberts's physical address?
The Fredric Burton Roberts is physically located at 1025 Huron Ave, in the city of Port Huron, MI, with the postal code 480603763.
What is Fredric Burton Roberts's area of expertise and its corresponding taxonomy classification?
The Fredric Burton Roberts's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
When did Fredric Burton Roberts receive its 1619963394 assignment?
The Fredric Burton Roberts was assigned its 1619963394 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Fredric Burton Roberts's details last updated?
The information pertaining to the Fredric Burton Roberts, including its address, specialty, and other details, was most recently updated on 2015-01-16.
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