Decandia, Roberto D

Decandia, Roberto D is an sole proprietor health care provider with primary practice located at 1000 S Fremont Ave Eastern Los Angeles Regional Center, Alhambra CA 91802-7916. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Decandia, Roberto D can be contacted via phone (626) 299-4700.

Contact Information

Primary practice address
1000 S Fremont Ave Eastern Los Angeles Regional Center Alhambra CA 91802-7916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12012 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12012 California

Profile Details

NPI number 1881699452
LBN Legal business name Decandia, Roberto D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jul 15th, 2013 - about 13 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 1881699452 NPPES
California Other PSY120120 MEDI-CAL

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