Provider Demographics
NPI:1104434802
Name:ZERBE, ROBERT LOYD JR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOYD
Last Name:ZERBE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14641 E LATIMER ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74116-2604
Mailing Address - Country:US
Mailing Address - Phone:918-619-2841
Mailing Address - Fax:
Practice Address - Street 1:19320 E ADMIRAL PL
Practice Address - Street 2:
Practice Address - City:CATOOSA
Practice Address - State:OK
Practice Address - Zip Code:74015-3239
Practice Address - Country:US
Practice Address - Phone:918-355-0993
Practice Address - Fax:918-355-0995
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2020-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health