Mark West Roberts in Pocatello - Clinical Child & Adolescent
Mark West Roberts - NPI 1336201342
Mark West Roberts is a Clinical Child & Adolescent in Pocatello, Idaho. Mark West Roberts practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mark West Roberts is 1336201342. The last update date is 2007-07-08.
Mark West Roberts's current location address is 536 S 9th Ave, Pocatello, Idaho. You can contact this provider via phone number 2084784670. The mailing address for Mark West Roberts is 536 S 9th Ave, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark West Roberts |
|---|---|
| Address | 536 S 9th Ave, Pocatello, Idaho |
| Phone Number | 2084784670 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336201342 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 536 S 9th Ave |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832015311 |
| Phone Number | 2084784670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY-138 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark West Roberts by the Centers for Medicare & Medicaid Services?
The Mark West Roberts has been issued the NPI (National Provider Identifier) 1336201342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark West Roberts's facilities are geographically located?
The facilities of Mark West Roberts are physically situated at the following location: 536 S 9Th Ave, Pocatello, ID, 832015311.
What is the Mark West Roberts's area of specialization and corresponding taxonomy classification?
The Mark West Roberts's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
When did Mark West Roberts receive its 1336201342 assignment?
The Mark West Roberts was assigned its 1336201342 on 2006-12-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mark West Roberts, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark West Roberts, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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