Provider Demographics
NPI:1871082727
Name:JOSS, ROBERT H (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:JOSS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WASHINGTON ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3510
Mailing Address - Country:US
Mailing Address - Phone:978-740-3100
Mailing Address - Fax:978-740-5656
Practice Address - Street 1:70 WASHINGTON ST STE 210
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3510
Practice Address - Country:US
Practice Address - Phone:978-740-3100
Practice Address - Fax:978-740-5656
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3179103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic