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NPI Code Detail

MEDICARE: THOMAS ALAN ROBBE MFT

MEDICARE: THOMAS ALAN ROBBE MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC 40151CA

General Provider Information

NPI Number : 1023153731
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS ALAN ROBBE MFT
Provider Business Mailing Address
First Line : 1500 PETALUMA BLVD S STE A
Second Line :
City : PETALUMA
State : CA
Zip : 94952-5546
Country : US
Telephone Number : 707-765-8488
Fax Number : 707-765-8482
Provider Business Practice Location Address
First Line : 1500 PETALUMA BLVD S STE A
Second Line :
City : PETALUMA
State : CA
Zip : 94952-5546
Country : US
Telephone Number : 707-765-8488
Fax Number : 707-765-8482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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Directions to “ THOMAS ALAN ROBBE MFT” Practice Location

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