Provider Demographics
NPI:1578631842
Name:STRAUS, ROBERT BECKWITH (DMH, JD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BECKWITH
Last Name:STRAUS
Suffix:
Gender:M
Credentials:DMH, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BERKELEY ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3459
Mailing Address - Country:US
Mailing Address - Phone:617-661-9711
Mailing Address - Fax:617-868-3408
Practice Address - Street 1:263 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1336
Practice Address - Country:US
Practice Address - Phone:617-661-9711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3383103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist