Awalt, Robert Mitchell

Awalt, Robert Mitchell is an sole proprietor health care provider with primary practice located at 3420 Kenyon St , San Diego CA 92110-5001. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Awalt, Robert Mitchell can be contacted via phone (619) 221-6550.

Contact Information

Primary practice address
3420 Kenyon St San Diego CA 92110-5001
Phone: (619) 221-6550
Fax: (619) 221-6556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY16566 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY16566 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY16566 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY16566 California

Profile Details

NPI number 1790980829
LBN Legal business name Awalt, Robert Mitchell
Credentials PSY.D. AND LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Jul 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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