Wyman, Roberta G
Wyman, Roberta G is an sole proprietor health care provider with primary practice located at 16581 Sell Cir , Huntington Beach CA 92649-3298. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wyman, Roberta G can be contacted via phone (714) 842-8680.Contact Information
Primary practice address
16581 Sell Cir
Huntington Beach CA 92649-3298
Phone: (714) 842-8680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY12487 | California |
Profile Details
| NPI number | 1073738225 |
|---|---|
| LBN Legal business name | Wyman, Roberta G |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2007 |
| Last updated | Jul 6th, 2009 - about 16 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 | 1073738225 | NPPES |
| California | Other | PSY12487 | CALIF LIC |
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