Wand, Robin Colleen
Wand, Robin Colleen is an individual health care provider with primary practice located at 2579 San Pablo Ave , Oakland CA 94612-1159. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wand, Robin Colleen can be contacted via phone (510) 446-7103.Contact Information
Primary practice address
2579 San Pablo Ave
Oakland CA 94612-1159
Phone: (510) 446-7103
Fax: (510) 832-0609
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 17603 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY 17603 | California |
Profile Details
NPI number | 1366651028 |
---|---|
LBN Legal business name | Wand, Robin Colleen |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2007 |
Last updated | May 28th, 2015 - about 9 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 | 1366651028 | NPPES |
California | Other | PSY 17603 | PSYCHOLOGY LICENSE |
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