MEDICARE: MS. SARA HALPERN ROBB 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
1	106H00000X	Marriage & Family Therapist	MFC21471	CA

General Provider Information

NPI Number	:	1831105725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARA HALPERN ROBB MFT

Provider Business Mailing Address
First Line	:	5845 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1635
Country	:	US
Telephone Number	:	510-658-0431
Fax Number	:	510-653-4960

Provider Business Practice Location Address
First Line	:	5845 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1635
Country	:	US
Telephone Number	:	510-658-0431
Fax Number	:	510-653-4960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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