Organization
ROBERSON CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHARLES ROBERSON PH.D. (LICENSED PSYCHOLOGIST)
(623) 486-0935
Entity
Organization
Contact information
Practice address
11024 N 28TH DR, SUITE 290, PHOENIX, AZ 85029-4377
(623) 486-0935
(602) 734-0692
Mailing address
11024 N 28TH DR, SUITE 290, PHOENIX, AZ 85029-4377
(623) 486-0935
(602) 734-0692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1843
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467549071
PERSONAL NPI
—
Enumeration date
03/26/2015
Last updated
03/26/2015
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