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NPI Code Detail

MEDICARE: MS. ROBIN LESLIE SIOTA BREEDING PSY.D.

MEDICARE: MS. ROBIN LESLIE SIOTA BREEDING PSY.D.
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
1103TC0700XClinical PsychologistPSY19427CA
2103TC0700XClinical Psychologist39051TX

General Provider Information

NPI Number : 1578683363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN LESLIE SIOTA BREEDING PSY.D.
Provider Business Mailing Address
First Line : 10807 PERRIN BEITEL RD STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-3144
Country : US
Telephone Number : 210-245-7862
Fax Number :
Provider Business Practice Location Address
First Line : 10807 PERRIN BEITEL RD STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-3144
Country : US
Telephone Number : 210-245-7862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 09/30/2021

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