Search › Idaho › Clinical Child & Adolescent Psychologist
Mark Roberts, PH.D
NPI 1336201342 · on the registry since 2006 · sole proprietor
Practice
- Address
- 921 S 8th Ave
Garrison Hall 525 Stop 8021
Pocatello, ID 83209 - Phone
- (208) 282-2129
- Fax
- (208) 282-5411
- Organisation at this address
- Idaho State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- Clinical Child & Adolescent Psychologist
103TC2200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Idaho