Roberts, Vicki June
Roberts, Vicki June is an sole proprietor health care provider with primary practice located at 1778 Century Blvd Ne Suite A, Atlanta GA 30345-3398. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Roberts, Vicki June can be contacted via phone (404) 638-6650.Contact Information
Primary practice address
1778 Century Blvd Ne Suite A
Atlanta GA 30345-3398
Phone: (404) 638-6650
Fax: (404) 638-6651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY001865 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY001865 | Georgia |
Profile Details
| NPI number | 1235278896 |
|---|---|
| LBN Legal business name | Roberts, Vicki June |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jan 18th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235278896 | NPPES |
| Georgia | MEDICAID | 000669149B |
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