Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY22646 | CA |
Y | 103G00000X | Clinical Psychologist | PSY22646 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY22646 | CA |
NPI | 1558586669 |
---|---|
Provider Name | Dr. Rachel Allegra Robbins |
First Address | San Francisco, CA 94102-4318 |
Second Address | San Francisco, CA 94102-4318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 15/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3575 | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER (01) | |
3575 | SFGH INTERNAL USE ONLY (01) |