Provider Demographics
NPI:1265797302
Name:BIRKFELD, ROBERT (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:BIRKFELD
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 1:1745 SW SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2205
Mailing Address - Country:US
Mailing Address - Phone:772-220-8200
Mailing Address - Fax:888-234-3722
Practice Address - Street 1:1745 SW SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2205
Practice Address - Country:US
Practice Address - Phone:772-220-8200
Practice Address - Fax:888-234-3722
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-04
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist