Organization
NICOLE ROBERTS PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ROBERTS (PSYCHOLOGIST)
(469) 450-8288
Entity
Organization
Contact information
Practice address
4903 S MEADOW RIDGE CIR, MCKINNEY, TX 75070-5249
(469) 450-8288
Mailing address
4903 S MEADOW RIDGE CIR, MCKINNEY, TX 75070-5249
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
32840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598046765
NPI
TX
Enumeration date
09/01/2011
Last updated
09/01/2011
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