Healthcare Provider Details

I. General information

NPI: 1265400188
Provider Name (Legal Business Name): ROBERT WILLIAM STEWART PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 09/29/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 E OAK ST STE F
KISSIMMEE FL
34744-4577
US

IV. Provider business mailing address

705 E OAK ST STE F
KISSIMMEE FL
34744-4577
US

V. Phone/Fax

Practice location:
  • Phone: 407-460-0418
  • Fax: 813-436-6849
Mailing address:
  • Phone: 407-460-0418
  • Fax: 813-436-8494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW7915
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 7915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: