Individual
DR. ROBERT KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5402 ARAPAHO RD, DALLAS, TX 75248-6905
(972) 458-9950
(972) 458-1988
Mailing address
2881 REDFERN DR, ROANOKE, TX 76262-1569
(972) 458-9950
(972) 458-1988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
67890
TX
103T00000X
Psychologist
Primary
37176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37176
TEXAS
TX
01
—
67890
STATE LICENSE
TX
Enumeration date
06/20/2012
Last updated
02/15/2016
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