Roberson Clinical Services, Llc | |
11024 N 28th Dr Suite 290 Phoenix AZ 85029-4377 | |
(623) 486-0935 | |
(602) 734-0692 |
Full Name | Roberson Clinical Services, Llc |
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Speciality | Psychologist - Clinical |
Location | 11024 N 28th Dr, Phoenix, Arizona |
Authorized Official Name and Position | Joseph Charles Roberson (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6234860935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roberson Clinical Services, Llc 11024 N 28th Dr Suite 290 Phoenix AZ 85029-4377 Ph: (623) 486-0935 | Roberson Clinical Services, Llc 11024 N 28th Dr Suite 290 Phoenix AZ 85029-4377 Ph: (623) 486-0935 |
NPI Number | 1144614264 |
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Provider Enumeration Date | 03/26/2015 |
Last Update Date | 03/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144614264 | NPI | - | NPPES |
1467549071 | Other | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1843 (Arizona) | Primary |
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