| Fredric B Roberts Edd Pc | |
|
2033 11th Ave Port Huron MI 48060-3207 | |
| (810) 984-4550 | |
| (810) 984-3737 |
| Full Name | Fredric B Roberts Edd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2033 11th Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Fredric B Roberts (PRESIDENT) |
| Authorized Official Contact | 8109844550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredric B Roberts Edd Pc 2033 11th Ave Port Huron MI 48060-3207 Ph: (810) 984-4550 | Fredric B Roberts Edd Pc 2033 11th Ave Port Huron MI 48060-3207 Ph: (810) 984-4550 |
| NPI Number | 1578714804 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578714804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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