Individual
DR. ROBERT P WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
5485 CONESTOGA CT, SUITE 100-D, BOULDER, CO 80301-2752
(303) 417-0293
(303) 666-7160
Mailing address
190 DAHLIA DR, LOUISVILLE, CO 80027-2641
(303) 417-0293
(303) 666-7160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07019557
—
CO
01
—
148127800
OWCP FECA
CO
Enumeration date
04/20/2007
Last updated
04/29/2023
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