Organization
SAMUEL J. ROBERTS AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JOSEPH ROBERTS PH.D. (PSYCHOLOGIST)
(817) 424-5157
Entity
Organization
Contact information
Practice address
206 E COLLEGE ST, STE A-100, GRAPEVINE, TX 76051-5364
(817) 424-5157
(817) 424-1766
Mailing address
PO BOX 38326, DALLAS, TX 75238-0326
(817) 424-1766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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