Provider Demographics
NPI:1295757870
Name:HESTER, ROBERT FRANK (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANK
Last Name:HESTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18919
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39404-8919
Mailing Address - Country:US
Mailing Address - Phone:601-264-0073
Mailing Address - Fax:601-264-2620
Practice Address - Street 1:7 WOODSTONE PLZ
Practice Address - Street 2:STE 5
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-264-0073
Practice Address - Fax:601-264-2620
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18194103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
R79003Medicare UPIN
MS680000110Medicare ID - Type Unspecified