Individual
DORIS PHILLIPS ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 HIGHWAY 51 STE A, PONCHATOULA, LA 70454-6365
(985) 467-0730
Mailing address
PO BOX 1272, PONCHATOULA, LA 70454-1272
(985) 467-0730
(985) 467-0674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
10/08/2025
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