Kenneth Dillon Robertson, PH.D.

Psychologist · St Augustine, FL

Individual Active NPI

NPI number 1609070069

Practice location

3604 Fort Peyton Cir
St Augustine, FL 32086-9101
Phone
(904) 540-5310

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NPI record

NPI
1609070069
Entity type
Individual (Type 1)
Enumeration date
June 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PY 6760 FL

About Dr. Robertson

Kenneth Dillon Robertson, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 3604 Fort Peyton Cir, St Augustine, FL 32086-9101. The NPI number 1609070069 was assigned on June 12, 2007 and the record was last updated on July 8, 2007.

Dr. Robertson lists a license in the registry: #PY 6760 (FL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Dillon Robertson, PH.D.?

The NPI number is 1609070069.

What is the phone number of Dr. Robertson?

The phone number listed for the practice location is (904) 540-5310.

Where is Dr. Robertson located?

3604 Fort Peyton Cir, St Augustine, FL 32086-9101.

What is the taxonomy code for Dr. Robertson?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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