National Provider Identifier
Bozena Eva Robertson, PH.D.
Bozena Eva Robertson, PH.D. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochster, NY and a listed phone number of (585) 922-2623.
Profile Overview
- NPI
- 1154685105
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 25, 2012
- Last Updated
- April 05, 2016
Practice Location
- 490 East Ridge Road
- Rochster, NY 14621-1297
Phone: (585) 922-2623
Mailing Address
- 694 N Cove Dr
- Webster, NY 14580-3901
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1154685105
- Entity Type
- Individual
- Last Name
- Robertson
- First Name
- Bozena
- Middle Name
- Eva
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 694 N Cove Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3901
- Mailing Country
- US
- Mailing Phone
- (585) 322-5481
- Practice Street Address
- 490 East Ridge Road
- Practice City
- Rochster
- Practice State
- NY
- Practice ZIP Code
- 14621-1297
- Practice Country
- US
- Practice Phone
- (585) 922-2623
- Enumeration Date
- June 25, 2012
- Last Updated
- April 05, 2016
- Deactivation Date
- March 29, 2016
- Reactivation Date
- April 05, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)