Individual
EILEEN DENISE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1123 S CLOVERDALE BLVD # 112, CLOVERDALE, CA 95425-4402
(707) 867-6635
Mailing address
1123 S CLOVERDALE BLVD # 112, CLOVERDALE, CA 95425-4402
(707) 867-6635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY21286
CA
103TC0700X
Clinical Psychologist
Primary
PSY21296
CA
Other
Enumeration date
01/09/2007
Last updated
11/01/2024
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