Individual
ROBERT DEAN PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3331 POWER INN RD, SACRAMENTO, CA 95826-3889
(916) 875-1183
Mailing address
2412 U ST, SACRAMENTO, CA 95818-1819
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26034
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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