Robert Wright Colegrove JR. EDD

NPI 1609969781 - Psychologist - 103TC2200X

NPI Details
NPI 1609969781
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15409 DICKENS ST
SHERMAN OAKS CA, 91403-3009, US
Phone (818) 986-4362
Fax (818) 986-9263
Business Location
15409 DICKENS ST
SHERMAN OAKS CA, 91403-3009, US
Phone (818) 986-4362
Fax (818) 986-9263
Toxanomy
Taxonomy Code 103TC2200X
License State California
License Number PSY10862
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According to our database, Robert Wright Colegrove JR. EDD NPI is 1609969781, taxonomy code is 103TC2200X and license number is PSY10862, license state is located at California. Robert Wright Colegrove JR. EDD physically located at 15409 Dickens St, Sherman Oaks CA, 91403-3009. NPI Number Robert Wright Colegrove JR. EDD has the Individual type.

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1609969781 NPI number is provided on an as is basis without warranty of any kind. 1609969781 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Wright Colegrove JR. EDD are for informational purposes only.