Herbert Roberrts, 17500000X

NPI 1033835921 · on the registry since 2022 · sole proprietor

Practice

Address: 1 Washington Ave Ste 300
Logan, WV 25601
Phone: (304) 792-9473
Organisation at this address: Southwestern Regional Day Report Center
Southwestern Regional Day Report Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia