Beridha, Robert
Beridha, Robert is an sole proprietor health care provider with primary practice located at 711 N Beaver St , Flagstaff AZ 86001-3103. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Beridha, Robert can be contacted via phone (928) 380-6081.Contact Information
Primary practice address
711 N Beaver St
Flagstaff AZ 86001-3103
Phone: (928) 380-6081
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R4311 | Oregon |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY-005043 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 005043 | Arizona |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 005043 | Arizona |
Profile Details
NPI number | 1265844831 |
---|---|
LBN Legal business name | Beridha, Robert |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2014 |
Last updated | Feb 19th, 2023 - about last year |
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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