Provider Demographics
NPI:1467871798
Name:DR. ROBERTO C. F. ALVES PSYD PA
Entity Type:Organization
Organization Name:DR. ROBERTO C. F. ALVES PSYD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:C F
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:727-209-7792
Mailing Address - Street 1:PO BOX 49284
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-9284
Mailing Address - Country:US
Mailing Address - Phone:727-209-7792
Mailing Address - Fax:813-501-1173
Practice Address - Street 1:3530 1ST AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8435
Practice Address - Country:US
Practice Address - Phone:727-209-7792
Practice Address - Fax:813-501-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8491103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty