Provider Demographics
NPI:1265649099
Name:KALER, SANDRA ROBBIN (PHD, RN)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:ROBBIN
Last Name:KALER
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 JACON WAY
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-2832
Mailing Address - Country:US
Mailing Address - Phone:310-454-9998
Mailing Address - Fax:
Practice Address - Street 1:860 VIA DE LA PAZ
Practice Address - Street 2:SUITE E LOFT A
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3608
Practice Address - Country:US
Practice Address - Phone:310-454-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12954103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist