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NPI Code Detail

MEDICARE: MR. RICHARD S. ROBINSON MFT

MEDICARE: MR. RICHARD S. ROBINSON 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 Therapist47197CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15513OTHERCAMEDI-CAL, CONTRA COSTA COUNTY

General Provider Information

NPI Number : 1851432546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD S. ROBINSON MFT
Provider Business Mailing Address
First Line : 6492B BENVENUE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94618-1306
Country : US
Telephone Number : 510-590-6585
Fax Number :
Provider Business Practice Location Address
First Line : 2915 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2133
Country : US
Telephone Number : 510-590-6585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 08/10/2010

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