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MARK WEST ROBERTS PH.D. NPI 1336201342


NPI Information

NPI: 1336201342
Provider Name: MARK WEST ROBERTS, PH.D.
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
921 S 8TH AVE
GARRISON HALL 525 STOP 8021
POCATELLO, ID
ZIP 83209
Phone: (208) 282-2129
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Mark West Roberts, PH.D. is a clinical child and adolescent psychologist in Pocatello, ID. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Mark West Roberts, PH.D. NPI is 1336201342. 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:

921 S 8TH AVE
GARRISON HALL 525 STOP 8021
POCATELLO, ID
ZIP 83209-002
Phone: (208) 282-2129
Fax: (208) 282-5411

The enumeration date for this NPI number is 12/15/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentPSY-138IDAHOYes

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

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