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Organization

SAMUEL J. ROBERTS AND ASSOCIATES

Active
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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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