Provider Demographics
NPI:1144416025
Name:LITTLEFIELD, ROBERT P (PHD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:LITTLEFIELD
Suffix:
Gender:M
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 FOREST LN STE 422
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2771
Mailing Address - Country:US
Mailing Address - Phone:972-934-3858
Mailing Address - Fax:972-934-3050
Practice Address - Street 1:5925 FOREST LN STE 422
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2771
Practice Address - Country:US
Practice Address - Phone:972-934-3858
Practice Address - Fax:972-934-3050
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-0441103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist