Provider Demographics
NPI:1417106030
Name:DOYLE, ROBI-ANN
Entity Type:Individual
Prefix:
First Name:ROBI-ANN
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 RICHLAND AVE
Mailing Address - Street 2:APT. 196
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-4540
Mailing Address - Country:US
Mailing Address - Phone:209-338-8429
Mailing Address - Fax:
Practice Address - Street 1:1601 YOSEMITE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2800
Practice Address - Country:US
Practice Address - Phone:209-341-1824
Practice Address - Fax:209-523-1296
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker