Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDRIC BURTON ROBERTS, ED D
Active Sole ProprietorDR. FREDRIC BURTON ROBERTS, ED D is a Psychologist healthcare provider located in PORT HURON, Michigan. NPI 1619963394 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PORT HURON, MI
Registration Details
- NPI Number
- 1619963394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.854356490643 yrs)
- Last Updated
- Jan 16, 2015
- License
-
6301002615 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1025 HURON AVEPORT HURON, MI, 480603763Browse MI providers · Browse ZIP 48060
- Phone
- 8109844550
- Fax
- 8109873737
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PORT HURON, MI
| Name | Credential | NPI |
|---|---|---|
| MARK STEPHEN JONES | LLP | 1558474585 |
| MRS. LONNIE RAE SHARKEY | L.L.P C.A.A.D.C | 1598871998 |
| MR. WILBERT WAYNE MORRIS | MA/LLP | 1992817464 |
| MS. TIFFANY LYNN MCMANAMAN | LLP | 1174960835 |
| CRYSTAL EDDY | — | 1558785568 |
| MS. ANNE MARIE BEDARD | M.A., TLLP | 1962266122 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.