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Individual

DR. ANDREW MARK ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
415 N EDGEWORTH ST, SUITE 206, GREENSBORO, NC 27401-2182
(336) 574-0404
(336) 545-5566
Mailing address
1203 QUAIL DR, GREENSBORO, NC 27408
(336) 574-0404
(336) 545-5566

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0851
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107146
NC
Enumeration date
09/16/2006
Last updated
07/08/2007
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