Individual
ROBERT BROCK FROST
Active
Individual
ROBERT BROCK FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1341
NM
103G00000X
Clinical Neuropsychologist
PSY1341
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-RXC0081
NM
Other
Enumeration date
09/10/2014
Last updated
10/29/2021
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