Provider Demographics
NPI:1811238538
Name:SITNER, ROBERT RAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RAY
Last Name:SITNER
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 1:7029 MONTRICO DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6923
Mailing Address - Country:US
Mailing Address - Phone:908-492-5998
Mailing Address - Fax:561-394-9405
Practice Address - Street 1:7029 MONTRICO DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6923
Practice Address - Country:US
Practice Address - Phone:908-492-5998
Practice Address - Fax:561-394-9405
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5018103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral