Individual
DR. ROBERT DOUGLAS MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-0219
Mailing address
401 PARNASSUS AVENUE, BOX 0984, SAN FRANCISCO, CA 94143-0984
(415) 476-4212
(415) 502-6361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
256155
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
142314
CA
Other
Enumeration date
07/09/2013
Last updated
10/02/2016
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