Johansen, Robert N

Johansen, Robert N is an individual health care provider with primary practice located at 17215 Studebaker Rd #110, Cerritos CA 90703-2548. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johansen, Robert N can be contacted via phone (562) 860-2210.

Contact Information

Primary practice address
17215 Studebaker Rd #110 Cerritos CA 90703-2548
Phone: (562) 860-2210
Fax: (562) 860-2451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10129 California

Profile Details

NPI number 1609860295
LBN Legal business name Johansen, Robert N
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1609860295 NPPES
California MEDICAID PSY101290
California Other OPL101290

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