Individual
REGINALD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 ALBERTA DR, SUITE 211, AMHERST, NY 14226-1814
(716) 837-6705
(716) 837-6759
Mailing address
315 ALBERTA DR, SUITE 211, AMHERST, NY 14226-1814
(716) 837-6705
(716) 837-6759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015549
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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