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Organization
PSYCHOTHERAPY INSTITUTE OF INDIVIDUAL, FAMILY & COMMUNITY DEVELOPMENT
Active
Organization
PSYCHOTHERAPY INSTITUTE OF INDIVIDUAL, FAMILY & COMMUNITY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY A ROBINSON PH.D. (VICE PRESIDENT)
(925) 777-9540
Entity
Organization
Contact information
Practice address
509 W 10TH ST, ANTIOCH, CA 94509-1653
(925) 777-9540
(925) 757-9024
Mailing address
509 W 10TH ST, ANTIOCH, CA 94509-1653
(925) 777-9540
(925) 757-9024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15066
CA
103TC0700X
Clinical Psychologist
PSY15066
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY15066
CA
Other
Enumeration date
01/18/2007
Last updated
09/11/2025
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