Healthcare Provider Details

I. General information

NPI: 1831053123
Provider Name (Legal Business Name): ROBIN LEANN WATSON-BIRD PPSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JACKSON ST
ALBANY CA
94706-1904
US

IV. Provider business mailing address

3974 STANFORD WAY
LIVERMORE CA
94550-3655
US

V. Phone/Fax

Practice location:
  • Phone: 510-558-4800
  • Fax:
Mailing address:
  • Phone: 925-577-8692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number210177059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: