Provider Demographics
NPI:1912112517
Name:ANNETT, ROBERT PATRICK ROSS (MSC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:PATRICK ROSS
Last Name:ANNETT
Suffix:
Gender:M
Credentials:MSC
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Mailing Address - Street 1:#49 52449 RNG. RD. 222
Mailing Address - Street 2:
Mailing Address - City:ARDROSSAN
Mailing Address - State:AB
Mailing Address - Zip Code:T8E 2G6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BOX 297 PROVINCIAL BUILDING
Practice Address - Street 2:9503 BEAVERHILL ROAD
Practice Address - City:LAC LA BICHE
Practice Address - State:AB
Practice Address - Zip Code:T0A 2C0
Practice Address - Country:CA
Practice Address - Phone:780-623-5230
Practice Address - Fax:780-623-5232
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health