Provider Demographics
NPI:1972682177
Name:ROBLES-MEYERS, SYLVIA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MARIA
Last Name:ROBLES-MEYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:MARIA
Other - Last Name:ROBLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4665 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347
Mailing Address - Country:US
Mailing Address - Phone:423-942-1993
Mailing Address - Fax:423-942-6694
Practice Address - Street 1:4665 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347
Practice Address - Country:US
Practice Address - Phone:423-942-1993
Practice Address - Fax:423-942-6694
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD358342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3870544Medicaid
TX4045515OtherBLUE CROSS
TN3870544Medicaid
TX4045515OtherBLUE CROSS