MRS. JENNIFER PAIGE ROBERTS


Address: 4109 Converse Dr, Raleigh, NC 27609-5933
Phone: 9194137192

MRS. JENNIFER PAIGE ROBERTS (NPI# 1962740860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962740860
Entity Type Individual
Full Name MRS. JENNIFER PAIGE ROBERTS
Credential MA
Practice Address 4109 Converse Dr
Raleigh
NC 27609-5933
Practice Telephone 9194137192
Mailing Telephone 9194137192
Enumeration Date 2013-01-28
Last Update Date 2013-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
2039 NC Behavioral Health & Social Service Providers

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Office Location

Street Address 4109 CONVERSE DR
City RALEIGH
State NC
Zip Code 27609-5933

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1609172121 Tamara Puddy Psychologist 415 Ansley St, Rocky Mount, NC 27803-2104 2011-01-31
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City RALEIGH
Zip Code 27609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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