Robert Lewis Bare, PH.D
Individual provider Active NPI Clinical Psychologist · Birmingham, AL
NPI 1669607487 · NPPES record last updated May 22, 2009
Key facts
- NPI
- 1669607487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1516 (AL)
- Practice address
- 631 Beacon Pkwy W
Suite 203
Birmingham, AL 35209-3124 - Phone
- (205) 504-2496
- NPI assigned
- May 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1516 | AL | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1516 | AL | Yes |
Addresses
Primary practice location
631 Beacon Pkwy W
Suite 203
Birmingham, AL 35209-3124
Mailing address
PO Box 130601
Birmingham, AL 35213-0601
Phone (205) 504-2496
Other providers in Birmingham, AL
- Sydney Alexandra Barber
- William Henry Barber V
- Kevin W Barberio
- Carliea Barckley
- Margaret G Barclay
- Thomas Barefoot
- Isabel Milagros Baren
- Nicole Alexis Baren
- Peter L Baren
- Chelsea Bares
All providers in Birmingham, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.