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General NPI Number Information
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NPI Number | 1548143241
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Entity Type | Organization
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Legal Business Name | ROBERT MCSHANE MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2660 TOWNSGATE RD STE 530
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5711
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Country | US
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Telephone | 310-796-7802
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 TOWNSGATE RD STE 530
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5711
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Country | US
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Telephone | 310-796-7802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT BARRERA MCSHANE
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Credential | LMFT
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Telephone | 310-804-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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