Provider Demographics
NPI:1023194453
Name:HEATH, ROBERT STEVEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:HEATH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1813 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2269
Mailing Address - Country:US
Mailing Address - Phone:972-224-8606
Mailing Address - Fax:972-572-7297
Practice Address - Street 1:1813 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2269
Practice Address - Country:US
Practice Address - Phone:972-224-8606
Practice Address - Fax:972-572-7297
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23244103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical