Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY20019 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY20019 | CA |
Y | 103G00000X | Clinical Psychologist | PSY20019 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY20019 | CA |
NPI | 1467785162 |
---|---|
Provider Name | Dr. Robin Dawn Engelman |
First Address | Santa Monica, CA 90403-5704 |
Second Address | Santa Monica, CA 90403-5704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2009 |
Last Update Date | 12/09/2009 |