Provider Demographics
NPI:1417152281
Name:ROBERTS, DENNIS COMSTOCK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:COMSTOCK
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 RUE DE LYON 2EME ETAGE
Mailing Address - Street 2:PARIS PSYCHOLOGY CENTRE
Mailing Address - City:PARIS
Mailing Address - State:ILE DE FRANCE
Mailing Address - Zip Code:75012
Mailing Address - Country:FR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 RUE DE LYON 2EME ETAGE
Practice Address - Street 2:PARIS PSYCHOLOGY CENTRE
Practice Address - City:PARIS
Practice Address - State:ILE DE FRANCE
Practice Address - Zip Code:75012
Practice Address - Country:FR
Practice Address - Phone:075-698-8622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004851103T00000X
TX36777103T00000X
UT11379246-2501103TC0700X
WAPY61012327103TC0700X
IL071.008870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical