Provider Demographics
NPI:1396194213
Name:BARBARA T. ROBERTS, PHD, PLLC
Entity Type:Organization
Organization Name:BARBARA T. ROBERTS, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-291-2137
Mailing Address - Street 1:4601 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5700
Mailing Address - Country:US
Mailing Address - Phone:202-304-1326
Mailing Address - Fax:202-291-2067
Practice Address - Street 1:4601 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 5
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5700
Practice Address - Country:US
Practice Address - Phone:202-304-1326
Practice Address - Fax:202-291-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1548261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health