Individual
DR. MARY KATHLEEN ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
P-1349
TN
103TA0700X
Adult Development & Aging Psychologist
P-1349
TN
103TB0200X
Cognitive & Behavioral Psychologist
P-1349
TN
103TC0700X
Clinical Psychologist
P-1349
TN
103TC1900X
Counseling Psychologist
P-1349
TN
103TC2200X
Clinical Child & Adolescent Psychologist
P-1349
TN
103TF0000X
Family Psychologist
P-1349
TN
103TH0100X
Health Service Psychologist
Primary
P-1349
TN
225700000X
Massage Therapist
4367660
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3687063
—
TN
Enumeration date
01/24/2006
Last updated
09/11/2025
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