Doctor Name: | DR. ROBERT WILLIAM SIROKA |
NPI Number: | 1265564082 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | S100957 |
Business Practice Address: | 501 Plainsboro Rd Plainsboro, NJ - 085362070 |
Business Phone Number: | 2152978876 |
Business Fax Number: | 2125941213 |
Mailing Address: | 501 Plainsboro Rd, PLAINSBORO |
State: | NJ |
Postal Code: | 085362070 |
Phone Number: | 2152978876 |
Fax Number: | 2125941213 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | S100957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |