Mark West Roberts, PH.D.

NPI #1336201342 in Pocatello, Idaho

Provider Information

NPI Number
1336201342
Entity Type
Individual
Name
Mark West Roberts, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical Child & Adolescent
Credential
PH.D.
Enumeration Date
Dec 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
921 S 8TH AVE
Address 2
GARRISON HALL 525 STOP 8021
State
Idaho
ZIP Code
83209-0002
Phone
(208) 282-2129

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical Child & AdolescentClinical Child & Adolescent

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