Individual
DR. ROBERT CAESAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 645-6038
(704) 638-3438
Mailing address
313 SHILLINGFORD RD, IRMO, SC 29063-2331
(803) 960-2877
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
416
SC
103TC0700X
Clinical Psychologist
Primary
416
SC
103TC2200X
Clinical Child & Adolescent Psychologist
416
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0043
—
SC
Enumeration date
03/31/2006
Last updated
07/27/2014
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