Organization
GREENLINE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PATE PSYD (OWNER)
(714) 335-9265
Entity
Organization
Contact information
Practice address
539 MORSE AVE, PLACENTIA, CA 92870-3415
(949) 478-0665
Mailing address
170 E YORBA LINDA BLVD # 226, PLACENTIA, CA 92870-3327
(714) 335-9265
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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