Individual
MR. JOHN M ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1441 WAKARUSA DR, SUITE 200, LAWRENCE, KS 66049-3832
(785) 840-9820
(785) 841-8016
Mailing address
1441 WAKARUSA DR, SUITE 200, LAWRENCE, KS 66049-3832
(785) 840-9820
(785) 841-8016
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
767
KS
103TC1900X
Counseling Psychologist
Primary
KS#767
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239800A
—
KS
Enumeration date
08/03/2005
Last updated
12/18/2012
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