Tanya Roberts is a Professional in Lodi, California. Tanya Roberts practices all healthcare services and medical treatments related to Professional. The NPI Number for Tanya Roberts is 1912042375. The last update date is 2018-01-08.
Tanya Roberts's current location address is 404 W Pine St Ste 1, Lodi, California. You can contact this provider via phone number 2094012134. The mailing address for Tanya Roberts is 404 W Pine St Ste 1, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Roberts |
|---|---|
| Address | 404 W Pine St Ste 1, Lodi, California |
| Phone Number | 2094012134 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912042375 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2018-01-08 |
Provider Mailing Address Detail
| Address | 404 W Pine St Ste 1 |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 952402048 |
| Phone Number | 2094012134 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 20414 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10969254 | CA | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tanya Roberts by the Centers for Medicare & Medicaid Services?
The Tanya Roberts has been issued the NPI (National Provider Identifier) 1912042375, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tanya Roberts located?
The Tanya Roberts is located at 404 W Pine St Ste 1, Lodi, CA 952402048.
What is the Tanya Roberts's specialty and taxonomy code?
The Tanya Roberts's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Tanya Roberts receive the assignment of its 1912042375 from the Centers for Medicare & Medicaid Services?
The Tanya Roberts was issued its 1912042375 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the Tanya Roberts's details last updated?
The information pertaining to the Tanya Roberts, including its address, specialty, and other details, was most recently updated on 2018-01-08.