MARK WEST ROBERTS

POCATELLO, ID
NPI1336201342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: ID  PSY-138)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- MARK WEST ROBERTS Ph.D.
921 S 8TH AVE GARRISON HALL 525 STOP 8021
POCATELLO, ID 83209-0002
Phone number: 208-282-2129
Mailing Address
-- MARK WEST ROBERTS Ph.D.
536 S 9TH AVE
POCATELLO, ID 83201-5311
Phone number: 208-478-4670
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