Roberts, Verena M.

Roberts, Verena M. is an individual health care provider with primary practice located at 465 Memorial Dr , Pocatello ID 83201-4008. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberts, Verena M. can be contacted via phone (208) 232-7862.

Contact Information

Primary practice address
465 Memorial Dr Pocatello ID 83201-4008
Phone: (208) 232-7862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PENDING APPROVAL Colorado
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202880 Idaho

Profile Details

NPI number 1255614434
LBN Legal business name Roberts, Verena M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2011
Last updated Aug 11th, 2021 - about 4 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 1255614434 NPPES
Colorado MEDICAID 80839860
Colorado Other 024134

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