# ROBERT COLEGROVE PSYCHOLOGICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659579217
- **Authorized official:** DR. ROBERT WRIGHT COLEGROVE JR. ED.D. (PSYCHOLOGIST)
- **Authorized official phone:** (818) 986-4362

## Contact information

- **Practice address:** 15409 DICKENS STREET, SHERMAN OAKS, CA 91403
- **Practice address phone:** (818) 986-4362
- **Practice address fax:** (818) 986-9263
- **Mailing address:** 15409 DICKENS STREET, SHERMAN OAKS, CA 91403
- **Mailing address phone:** (818) 986-4362
- **Mailing address fax:** (818) 986-9263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY10862 | CA | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 08/22/2020