Woolard, Roberta S
Woolard, Roberta S is an sole proprietor health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Woolard, Roberta S can be contacted via phone (714) 456-2986.Contact Information
Primary practice address
101 The City Dr S
Orange CA 92868-3201
Phone: (714) 456-2986
Fax: (714) 456-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY20548 | California |
Profile Details
| NPI number | 1609198373 |
|---|---|
| LBN Legal business name | Woolard, Roberta S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2010 |
| Last updated | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609198373 | NPPES |
| California | Other | PSY20548 | STATE LICENSE |
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