| Doctor Name: | MR. JOHN M ROBERTSON |
| NPI Number: | 1013918796 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 767 |
| Business Practice Address: | 1441 Wakarusa Dr Suite 200 Lawrence, KS - 660493832 |
| Business Phone Number: | 7858409820 |
| Business Fax Number: | 7858418016 |
| Mailing Address: | 1441 Wakarusa Dr, Suite 200 LAWRENCE |
| State: | KS |
| Postal Code: | 660493832 |
| Phone Number: | 7858409820 |
| Fax Number: | 7858418016 |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 12/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 767 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |