Dawn C Roberts, PhD
Psychologist, Clinical in Peoria, IL. Individual provider (NPI-1).
NPI number1164076709
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1164076709
- Entity type
- Individual (NPI-1)
- Name
- Dawn C Roberts
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071.007623 | IL | Yes |
Practice location
4307 W Rustic Hollow DrPeoria, IL 61615-2430
Phone 309-712-2744
Mailing address
4307 W Rustic Hollow DrPeoria, IL 61615-2430
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