Antonacci, Robert

Antonacci, Robert is an individual health care provider with primary practice located at 1050 E Ramon Rd Unit 47 , Palm Springs CA 92264-7747. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Antonacci, Robert can be contacted via phone (818) 850-1525.

Contact Information

Primary practice address
1050 E Ramon Rd Unit 47 Palm Springs CA 92264-7747
Phone: (818) 850-1525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY32573 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY32573 California

Profile Details

NPI number 1720485584
LBN Legal business name Antonacci, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2014
Last updated Jul 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720485584 NPPES
California Other 01536011 MEDI-CAL

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