ROBERT WILSON DELOATCH NPI 1144347667

NPI Information

NPI: 1144347667
Provider Name: ROBERT WILSON DELOATCH
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5260 CAMPBELLTON RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 349-3049
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Robert Wilson Deloatch is a professional counselor in Atlanta, GA. Robert Wilson Deloatch NPI is 1144347667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5260 CAMPBELLTON RD SW
ATLANTA, GA
ZIP 30331-712
Phone: (404) 349-3049
Fax: (404) 346-6141

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	62419	GEORGIA	Yes
2	103TC2200X	Psychologist	Clinical Child & Adolescent	62419	GEORGIA	X
3	171000000X	Military Health Care Provider		62419	GEORGIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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