Provider Demographics
NPI:1649375965
Name:COTTONE, ROBERT ROCCO (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROCCO
Last Name:COTTONE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:53 CASTLE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-0452
Mailing Address - Country:US
Mailing Address - Phone:314-610-9999
Mailing Address - Fax:314-516-5784
Practice Address - Street 1:1 UNIVERSITY BLVD
Practice Address - Street 2:469 MH
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121
Practice Address - Country:US
Practice Address - Phone:314-516-6094
Practice Address - Fax:314-516-5784
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO941103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist