Roberson, Anthony James

Roberson, Anthony James is an individual health care provider with primary practice located at 750 Peter Bryce Blvd , Tuscaloosa AL 35401-7456. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Roberson, Anthony James can be contacted via phone (205) 348-6262.

Contact Information

Primary practice address
750 Peter Bryce Blvd Tuscaloosa AL 35401-7456
Phone: (205) 348-6262
Fax: (205) 348-4121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 186811 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9365822 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 950018 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1113909 Alabama

Profile Details

NPI number 1386745529
LBN Legal business name Roberson, Anthony James
Credentials PHD, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386745529 NPPES
North Carolina Other 825072000 MAGELLAN
North Carolina Other 2041002 MAGELLAN
North Carolina Other NCMC034223 MAGELLAN
North Carolina MEDICAID 6005012 MAGELLAN

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