Provider Demographics
NPI:1518384742
Name:ALLISON, ROBERT K JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:ALLISON
Suffix:JR
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 AVENUE A NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4540
Mailing Address - Country:US
Mailing Address - Phone:863-299-7787
Mailing Address - Fax:863-299-7757
Practice Address - Street 1:203 AVENUE A NW STE 300
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4540
Practice Address - Country:US
Practice Address - Phone:863-299-7787
Practice Address - Fax:863-299-7757
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist