| Robert Colegrove Psychological Services Inc | |
|
15409 Dickens Street Sherman Oaks CA 91403 | |
| (818) 986-4362 | |
| (818) 986-9263 |
| Full Name | Robert Colegrove Psychological Services Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 15409 Dickens Street, Sherman Oaks, California |
| Authorized Official Name and Position | Robert Wright Colegrove (PSYCHOLOGIST) |
| Authorized Official Contact | 8189864362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Colegrove Psychological Services Inc 15409 Dickens Street Sherman Oaks CA 91403 Ph: (818) 986-4362 | Robert Colegrove Psychological Services Inc 15409 Dickens Street Sherman Oaks CA 91403 Ph: (818) 986-4362 |
| NPI Number | 1659579217 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659579217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY10862 (California) | Primary |
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