Individual
DR. FREDRIC BURTON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED D
Contact information
Practice address
1025 HURON AVE, PORT HURON, MI 48060-3763
(810) 984-4550
(810) 987-3737
Mailing address
1025 HURON AVE, PORT HURON, MI 48060-3763
(810) 984-4550
(810) 987-3737
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680G445000
BCBS
—
Enumeration date
09/27/2005
Last updated
01/16/2015
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