Provider Demographics
NPI:1649543075
Name:ROBERTS, DENA KAY (DENA ROBERTS, LPC)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:KAY
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:DENA ROBERTS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 MARLTON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-3820
Mailing Address - Country:US
Mailing Address - Phone:512-695-3600
Mailing Address - Fax:512-236-9818
Practice Address - Street 1:2409 MARLTON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-3820
Practice Address - Country:US
Practice Address - Phone:512-695-3600
Practice Address - Fax:512-236-9818
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional