Robin Marie Kietzman in Pasadena - Clinical
Robin Marie Kietzman - NPI 1508972753
Robin Marie Kietzman is a Clinical in Pasadena, California. Robin Marie Kietzman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robin Marie Kietzman is 1508972753. The last update date is 2018-05-04.
Robin Marie Kietzman's current location address is 447 N El Molino Ave., Pasadena, California. You can contact this provider via phone number 6265778480 and fax number 6265778978. The mailing address for Robin Marie Kietzman is 447 N El Molino Ave., Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Marie Kietzman |
|---|---|
| Address | 447 N El Molino Ave., Pasadena, California |
| Phone Number | 6265778480 |
| Fax Number | 6265778978 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1508972753 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2018-05-04 |
Provider Mailing Address Detail
| Address | 447 N El Molino Ave. |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 91101 |
| Phone Number | 6265778480 |
| Fax Number | 6265778978 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY21015 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Robin Marie Kietzman by the Centers for Medicare & Medicaid Services?
The Robin Marie Kietzman has been assigned the NPI (National Provider Identifier) 1508972753 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robin Marie Kietzman?
The Robin Marie Kietzman is situated at 447 N El Molino Ave., in the city of Pasadena, state of CA, with the zip code 91101.
What is Robin Marie Kietzman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robin Marie Kietzman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Robin Marie Kietzman receive its 1508972753 assignment?
The Robin Marie Kietzman was assigned its 1508972753 on 2006-08-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Robin Marie Kietzman most recently updated?
The details pertaining to the Robin Marie Kietzman, including its address, specialty, and other relevant information, were last refreshed on 2018-05-04.