MEDICARE: MR. ROBERT THOMAS WEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790114742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT THOMAS WEST

Provider Business Mailing Address
First Line	:	5630 W ATLANTIC AVE
Second Line	:	#107
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5630 W ATLANTIC AVE
Second Line	:	#107
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8205
Country	:	US
Telephone Number	:	772-766-1728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2013
Last Update Date	:	11/09/2013

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Directions to “ MR. ROBERT THOMAS WEST ” Practice Location

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