Samuel J Roberts in Grapevine - Psychologist
Samuel J Roberts - NPI 1114041340
Samuel J Roberts is a Psychologist in Grapevine, Texas. Samuel J Roberts practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Samuel J Roberts is 1114041340. The last update date is 2018-07-14.
Samuel J Roberts's current location address is 601 S Main St, Grapevine, Texas. You can contact this provider via phone number 8174245157 and fax number 8174241766. The mailing address for Samuel J Roberts is 601 S Main St, Grapevine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel J Roberts |
|---|---|
| Address | 601 S Main St, Grapevine, Texas |
| Phone Number | 8174245157 |
| Fax Number | 8174241766 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114041340 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2018-07-14 |
Provider Mailing Address Detail
| Address | 601 S Main St |
|---|---|
| City | Grapevine |
| State | Texas (TX) |
| Post Code | 760515385 |
| Phone Number | 8174245157 |
| Fax Number | 8174241766 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 23376 |
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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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What is the unique 10-digit identifier code issued to Samuel J Roberts by the Centers for Medicare & Medicaid Services?
The Samuel J Roberts has been assigned the NPI (National Provider Identifier) 1114041340 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samuel J Roberts?
The Samuel J Roberts is physically situated at 601 S Main St, in the city of Grapevine, state of TX, with the postal code 760515385.
What is the Samuel J Roberts's area of specialization and corresponding taxonomy classification?
The Samuel J Roberts's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114041340 to Samuel J Roberts?
The Centers for Medicare & Medicaid Services originally issued the 1114041340 to Samuel J Roberts on 2007-03-16.
As of what date were the details related to Samuel J Roberts most recently updated or revised?
The information pertaining to Samuel J Roberts, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-14.
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