Individual
DR. RICHARD ROBERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHILOSOPHY
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2151
Mailing address
5114 MEDICAL DR APT 2454, SAN ANTONIO, TX 78229-3893
(562) 685-6787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005840
VA
103TB0200X
Cognitive & Behavioral Psychologist
0810005840
VA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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