Individual
DR. MARY R. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
126 N GREEN ST, TUCKERTON, NJ 08087-2628
(609) 296-0022
(609) 296-0022
Mailing address
12 CYPRESS CT, LITTLE EGG HARBOR, NJ 08087-4231
(609) 296-3289
(609) 296-0022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00286000
NJ
103T00000X
Psychologist
PS002617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038178
MHN
NJ
01
—
2551979
AETNA
NJ
Enumeration date
09/24/2006
Last updated
07/08/2007
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