Individual
DAN H ROBERTS
Active
Individual
DAN H ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G98C
BLUE CROSS PROVIDER ID
TX
05
—
098570701
—
TX
01
—
160459
VALUE OPTIONS PROVIDER ID
TX
Enumeration date
06/29/2006
Last updated
05/13/2010
Update your record
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