Individual
DR. TIARA A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
317 N BROADWAY RD, AZLE, TX 76020-3776
(817) 444-3603
(817) 406-4140
Mailing address
317 N BROADWAY RD, AZLE, TX 76020-3776
(817) 444-3603
(817) 406-4140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
222537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DO5R
BLUE CROSS/BLUE SHIELD
TX
05
—
032590401
—
TX
Enumeration date
06/07/2006
Last updated
03/28/2013
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