Individual
DR. PAUL JOSEPH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4043 S WEBSTER ST, KOKOMO, IN 46902-6911
(765) 450-8204
(765) 450-8206
Mailing address
4043 S WEBSTER ST, KOKOMO, IN 46902-6911
(765) 450-8204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040614A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269030A
—
IN
Enumeration date
06/15/2006
Last updated
05/22/2024
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