Individual
ROBERT S STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1432 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3808
(970) 945-7858
(970) 945-2475
Mailing address
PO BOX 1983, GLENWOOD SPRINGS, CO 81602-1983
(970) 945-7858
(970) 945-2475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1587
CO
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6028
CO
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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