Individual
DR. C. ROGER HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
827 DEEP VALLEY DR STE 203, ROLLING HILLS ESTATES, CA 90274-3668
(310) 995-0054
(310) 377-0056
Mailing address
827 DEEP VALLEY DR STE 203, ROLLING HILLS ESTATES, CA 90274-3668
(310) 995-0054
(310) 377-0056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY10334
PSYCHOLOGY LICENSE NUMBER
CA
Enumeration date
05/03/2007
Last updated
10/31/2020
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