Doctor Name: | MS. GLORIA JEAN ROBERTS |
NPI Number: | 1134244171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC,LMFT |
License Number: | 680 |
Business Practice Address: | 61 Wright St Suite 201 Stoneham, MA - 021803539 |
Business Phone Number: | 7814380727 |
Business Fax Number: | |
Mailing Address: | 61 Wright St, Suite 201 STONEHAM |
State: | MA |
Postal Code: | 021803539 |
Phone Number: | 7814380727 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | 680 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |