Wyman, Roberta G

Wyman, Roberta G is an sole proprietor health care provider with primary practice located at 16581 Sell Cir , Huntington Beach CA 92649-3298. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wyman, Roberta G can be contacted via phone (714) 842-8680.

Contact Information

Primary practice address
16581 Sell Cir Huntington Beach CA 92649-3298
Phone: (714) 842-8680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12487 California

Profile Details

NPI number 1073738225
LBN Legal business name Wyman, Roberta G
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2007
Last updated Jul 6th, 2009 - about 17 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 1073738225 NPPES
California Other PSY12487 CALIF LIC

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