Robert M Theodore PHD

NPI 1043487168 - Counselor - 101YM0800X

NPI Details
NPI 1043487168
Gender Male
Enumeration Date 05/08/2008
Last Updated 05/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
800 UNIVERSITY DR
MARYVILLE MO, 64468-6015, US
Phone (660) 562-1056
Fax
Business Location
800 UNIVERSITY DR
MARYVILLE MO, 64468-6015, US
Phone (660) 562-1056
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Missouri
License Number 000776
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According to our database, Dr. Robert M Theodore PHD NPI is 1043487168, taxonomy code is 101YM0800X and license number is 000776, license state is located at Missouri. Robert M Theodore PHD physically located at 800 University Dr, Maryville MO, 64468-6015. NPI Number Robert M Theodore PHD has the Individual type.

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1043487168 NPI number is provided on an as is basis without warranty of any kind. 1043487168 is maintained by the National Plan & Provider Enumeration System. The contents of Robert M Theodore PHD are for informational purposes only.