Provider Demographics
NPI:1346342961
Name:SCHLESINGER, ROBERTA DIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:DIANE
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:R
Other - Middle Name:DIANE
Other - Last Name:SCHLESINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2 SANTA EUGENIA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8871
Mailing Address - Country:US
Mailing Address - Phone:949-551-2843
Mailing Address - Fax:
Practice Address - Street 1:2 SANTA EUGENIA
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-8871
Practice Address - Country:US
Practice Address - Phone:949-551-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0656902084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry