Tatum, Robert Matthews

Tatum, Robert Matthews is an individual health care provider with primary practice located at 5579 De Sante Ln , Paradise CA 95969-6003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tatum, Robert Matthews can be contacted via phone (530) 876-1332.

Contact Information

Primary practice address
5579 De Sante Ln Paradise CA 95969-6003
Phone: (530) 876-1332
Fax: (530) 876-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19680 California

Profile Details

NPI number 1639243132
LBN Legal business name Tatum, Robert Matthews
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Sep 22nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639243132 NPPES
California Other 19680 LCS

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