Ron L Roberts, MS
Counselor, Professional in Tyler, TX. Individual provider (NPI-1).
NPI number1174635379
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1174635379
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ron L Roberts
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 14775 | TX | Yes |
| 103T00000X | Psychologist | 15103 | TX |
Practice location
606 S Fleishel AveTyler, TX 75701-2012
Phone 903-581-0933 · Fax 903-581-3977
Mailing address
606 S Fleishel Ave Ste 204Tyler, TX 75701-2012
Phone 903-581-0933 · Fax 903-581-3977
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