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Contact Information

MARY C ROBERTSON, PhD
6420 SOUTHWEST BLVD
SUITE 112
FORT WORTH, TX76109
 Phone: 817-877-0033
 Fax: 817-877-0032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY C ROBERTSON · (Female)

NPI # 1407027279
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/19/2008
Last updated 11/06/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 24311
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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