Provider Demographics
NPI:1699073114
Name:HILBORN, ROBERT SCOTT (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCOTT
Last Name:HILBORN
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 1:112 NW 24TH ST STE 208
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76164-8577
Mailing Address - Country:US
Mailing Address - Phone:469-835-4301
Mailing Address - Fax:469-574-3711
Practice Address - Street 1:112 NW 24TH ST STE 208
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-8577
Practice Address - Country:US
Practice Address - Phone:469-835-4301
Practice Address - Fax:469-574-3711
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34774103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical