Provider Demographics
NPI:1144567256
Name:ROBERT J. MORETTI, PH.D., & ASSOCIATES
Entity Type:Organization
Organization Name:ROBERT J. MORETTI, PH.D., & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:312-884-8317
Mailing Address - Street 1:65 E WACKER PL
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7296
Mailing Address - Country:US
Mailing Address - Phone:312-884-8317
Mailing Address - Fax:312-884-8317
Practice Address - Street 1:65 E WACKER PL
Practice Address - Street 2:SUITE 900
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7296
Practice Address - Country:US
Practice Address - Phone:312-884-8317
Practice Address - Fax:312-884-8317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty