Robin Colleen Wand in Oakland - Addiction (substance Use Disorder)
Robin Colleen Wand - NPI 1366651028
Robin Colleen Wand is a Addiction (substance Use Disorder) in Oakland, California. Robin Colleen Wand practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robin Colleen Wand is 1366651028. The last update date is 2015-05-28.
Robin Colleen Wand's current location address is 2579 San Pablo Ave, Oakland, California. You can contact this provider via phone number 5104467103 and fax number 5108320609. The mailing address for Robin Colleen Wand is 2579 San Pablo Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Colleen Wand |
|---|---|
| Address | 2579 San Pablo Ave, Oakland, California |
| Phone Number | 5104467103 |
| Fax Number | 5108320609 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1366651028 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2015-05-28 |
Provider Mailing Address Detail
| Address | 2579 San Pablo Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946121159 |
| Phone Number | 5104467103 |
| Fax Number | 5108320609 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | PSY 17603 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY 17603 | CA | PSYCHOLOGY LICENSE |
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What is the Robin Colleen Wand's unique identification number?
The Robin Colleen Wand has been assigned the NPI (National Provider Identifier) Number 1366651028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Robin Colleen Wand's physical address?
The Robin Colleen Wand is physically located at 2579 San Pablo Ave, in the city of Oakland, CA, with the postal code 946121159.
What is Robin Colleen Wand's area of expertise and its corresponding taxonomy classification?
The Robin Colleen Wand's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 103Ta0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Robin Colleen Wand receive the assignment of its 1366651028 from the Centers for Medicare & Medicaid Services?
The Robin Colleen Wand was issued its 1366651028 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Robin Colleen Wand, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robin Colleen Wand, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-28.
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