NPI 1003204801

Dwight Roberts

Practitioner Rehabilitation Counselor Louisville, KY

Practice location

Address: 2817 del Rio Pl, Louisville, KY 40220-2340
Phone: (502) 802-4287
Mailing address: 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1003204801
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2014
Record last updated: 31 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.