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Individual

ROBERT W STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
8217 W 20TH ST, STE A, GREELEY, CO 80634-3033
(970) 353-2000
(970) 356-4827
Mailing address
8217 W 20TH ST, STE A, GREELEY, CO 80634-3033
(970) 353-2000
(970) 356-4827

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
804
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30804078
CO
01
559874
VALUE OPTIONS PROVIDER NO
CO
01
643344
BLUE CROSS NUMBER
CO
Enumeration date
07/24/2006
Last updated
11/28/2016
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