| Doctor Name: | ROBERT CLIFTON CROSS |
| NPI Number: | 1265855316 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | 1739 |
| Business Practice Address: | 3112 Simpson Highway 13 Mendenhall, MS - 391143076 |
| Business Phone Number: | 6018240342 |
| Business Fax Number: | 6018240349 |
| Mailing Address: | Po Box 88, BRANDON |
| State: | MS |
| Postal Code: | 390430088 |
| Phone Number: | 6018240342 |
| Fax Number: | 6018240349 |
| NPI Enumeration Date: | 01/27/2014 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |