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Individual
DR. ROBERT MITCHELL AWALT
Active
Individual
DR. ROBERT MITCHELL AWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D. AND LCSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16566
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY16566
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY16566
CA
103TC1900X
Counseling Psychologist
PSY16566
CA
Other
Enumeration date
06/19/2007
Last updated
07/09/2019
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