Healthcare Provider Details

I. General information

NPI: 1285857961
Provider Name (Legal Business Name): ROBIN ANN DEUTSCH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5318 BRYANT AVE
OAKLAND CA
94618-1430
US

IV. Provider business mailing address

5318 BRYANT AVE
OAKLAND CA
94618-1430
US

V. Phone/Fax

Practice location:
  • Phone: 510-547-7543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY6602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: