Provider Demographics
NPI:1396953071
Name:MAICHROWICZ, ROBERT JOSEPH (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:MAICHROWICZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:214 WILDER TOWER
Mailing Address - Street 2:UNIVERSITY OF MEMPHIS
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38152-0001
Mailing Address - Country:US
Mailing Address - Phone:901-678-3549
Mailing Address - Fax:901-678-4895
Practice Address - Street 1:214 WILDER TOWER
Practice Address - Street 2:UNIVERSITY OF MEMPHIS
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38152-0001
Practice Address - Country:US
Practice Address - Phone:901-678-3549
Practice Address - Fax:901-678-4895
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002112103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling