Provider Demographics
NPI:1518583624
Name:SPAULDING, ROBERT MOSES II (PHD, LPC, MAC, CAADC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MOSES
Last Name:SPAULDING
Suffix:II
Gender:M
Credentials:PHD, LPC, MAC, CAADC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 KINGS ROAD
Mailing Address - Street 2:KINGSWOOD SUBDIVISION
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-6439
Mailing Address - Country:US
Mailing Address - Phone:478-290-4944
Mailing Address - Fax:478-274-0742
Practice Address - Street 1:201 KINGS ROAD
Practice Address - Street 2:KINGSWOOD SUBDIVISION
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-6439
Practice Address - Country:US
Practice Address - Phone:478-290-4944
Practice Address - Fax:478-274-0742
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC010046101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional