Doctor Name: | DR. JANICE SHIRLEY ROBERTS |
NPI Number: | 1013066075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 2634 |
Business Practice Address: | 5800 Monroe St Bldg B Sylvania, OH - 43560 |
Business Phone Number: | 4198851156 |
Business Fax Number: | 4198851156 |
Mailing Address: | 5800 Monroe St, Bldg B SYLVANIA |
State: | OH |
Postal Code: | 43560 |
Phone Number: | 4198851156 |
Fax Number: | 4198851156 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |