Roberts, Tina Lyn
Roberts, Tina Lyn is an sole proprietor health care provider with primary practice located at 1 12Th St Ste 4 , Astoria OR 97103-4146. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Roberts, Tina Lyn can be contacted via phone (312) 835-1634.Contact Information
Primary practice address
1 12Th St Ste 4
Astoria OR 97103-4146
Phone: (312) 835-1634
Fax: (503) 325-4986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C3758 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LH60691630 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180006440 | Illinois |
Profile Details
| NPI number | 1306038526 |
|---|---|
| LBN Legal business name | Roberts, Tina Lyn |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2007 |
| Last updated | Oct 4th, 2019 - about 6 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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