Robert Lee Houck, PH.D.
Individual provider Active NPI Clinical Psychologist · Banner Elk, NC
NPI 1699861807 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1699861807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2011 (NC)
- Practice address
- 1161 Balm Hwy
Banner Elk, NC 28604-9499 - Phone
- (828) 898-2079
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|
| 2011 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2011 | NC | Yes |
Addresses
Primary practice location
1161 Balm Hwy
Banner Elk, NC 28604-9499
Mailing address
PO Box 1998
Banner Elk, NC 28604-1998
Phone (828) 898-2079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000004 | Medicaid | NC |
Other providers in Banner Elk, NC
- Grandfather Home for Children
- Christine Marie Halterman
- Cindy Allison Herold
- Elizabeth Beu Hill
- His High Places, Inc
- Carl Bradley Huff Jr.
- Tracy Jenkins
- Jordan Reid Johnson
- Jonathan Bratter, DO Facog PA
- Robert Jones
All providers in Banner Elk, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.