Organization
RED OAK PSYCHOLOGY GROUP CORPORATION
Active
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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