Individual
RYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15340 UPPER ELLEN RD, LOS GATOS, CA 95033-8283
(408) 410-5456
Mailing address
15340 UPPER ELLEN RD, LOS GATOS, CA 95033-8283
(408) 410-5456
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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