Provider Demographics
NPI:1558351981
Name:MCDONALD, ROBERT D (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WALL ST
Mailing Address - Street 2:SUITE 803
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2725
Mailing Address - Country:US
Mailing Address - Phone:828-258-8365
Mailing Address - Fax:828-258-8365
Practice Address - Street 1:34 WALL ST
Practice Address - Street 2:SUITE 803
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2725
Practice Address - Country:US
Practice Address - Phone:828-258-8365
Practice Address - Fax:828-258-8365
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1158103T00000X, 103TB0200X, 103TC0700X, 103TC1900X, 103TF0200X, 103TP2701X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000571Medicaid
04602OtherBCBS
NC6000571Medicaid