Provider Demographics
NPI:1922334838
Name:SANCHEZ, ROBERTO (LMHC, PSY D)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LMHC, PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 J F KENNEDY CSWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4188
Mailing Address - Country:US
Mailing Address - Phone:305-926-9742
Mailing Address - Fax:305-926-9742
Practice Address - Street 1:1440 J F KENNEDY CSWY
Practice Address - Street 2:SUITE 401
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4188
Practice Address - Country:US
Practice Address - Phone:305-926-9742
Practice Address - Fax:305-926-9742
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684466996Medicaid