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Individual
DR. REUBEN VAISMAN-TZACHOR
Active
Individual
DR. REUBEN VAISMAN-TZACHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 15091
CA
103T00000X
Psychologist
Primary
PSY 15091
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY 15091
CA
103TA0700X
Adult Development & Aging Psychologist
PSY 15091
CA
103TC0700X
Clinical Psychologist
PSY 15091
CA
103TC1900X
Counseling Psychologist
PSY 15091
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 15091
CA
103TE1100X
Exercise & Sports Psychologist
PSY 15091
CA
103TF0000X
Family Psychologist
PSY 15091
CA
103TF0200X
Forensic Psychologist
PSY 15091
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 15091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CA98888
BLUE SHIELD PROVIDER NUMB
CA
01
—
0PHD0000
BLUE SHIELD OF CALIFORNIA
CA
01
—
C CP15091
UN ITED AMERICAN INSURANC
CA
Enumeration date
12/21/2006
Last updated
11/02/2015
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