Provider Demographics
NPI:1225231426
Name:LLAMAS, ROBERT ELLIOTT (PHD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ELLIOTT
Last Name:LLAMAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 OCEAN VIEW BLVD
Mailing Address - Street 2:#212
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1243
Mailing Address - Country:US
Mailing Address - Phone:818-249-3133
Mailing Address - Fax:
Practice Address - Street 1:4343 OCEAN VIEW BLVD
Practice Address - Street 2:#212
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1243
Practice Address - Country:US
Practice Address - Phone:818-249-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7245103T00000X, 103TC2200X, 103TF0000X
CA7775106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist