Individual
DR. JAMIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13800 W NORTH AVE STE 120, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Mailing address
13800 W NORTH AVE STE 120, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4636-125
WI
103T00000X
Psychologist
Primary
3092-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578843405
—
WI
Enumeration date
08/23/2011
Last updated
03/30/2021
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