Individual
ROBERT GERARD VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
68615 PEREZ RD STE 6A, CATHEDRAL CITY, CA 92234-7200
(760) 770-2222
Mailing address
68615 PEREZ RD STE 6A, CATHEDRAL CITY, CA 92234-7200
(760) 770-2222
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
025465
CA
Other
Enumeration date
01/24/2007
Last updated
07/19/2007
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