Organization
RED OAK PSYCHOLOGY GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY ANN TOBIE PSY.D. (CFO)
(909) 987-1997
Entity
Organization
Contact information
Practice address
10832 LAUREL ST STE 102, RANCHO CUCAMONGA, CA 91730-7688
(909) 987-1997
(909) 987-0993
Mailing address
10832 LAUREL ST STE 102, RANCHO CUCAMONGA, CA 91730-7688
(909) 987-1997
(909) 987-0993
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/29/2020
Last updated
08/09/2020
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