Taylor, Robert Calvin
Taylor, Robert Calvin is an sole proprietor health care provider with primary practice located at 1445 W Shaw Ave , Fresno CA 93711-3608. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Taylor, Robert Calvin can be contacted via phone (559) 222-2568.Contact Information
Primary practice address
1445 W Shaw Ave
Fresno CA 93711-3608
Phone: (559) 222-2568
Fax: (559) 225-0340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY10409 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10409 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY10409 | California |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | PSY10409 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY10409 | California |
Profile Details
| NPI number | 1912244401 |
|---|---|
| LBN Legal business name | Taylor, Robert Calvin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Jan 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912244401 | NPPES |
| California | Other | OPL104090 | MEDICARE PTAN |
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