Provider Demographics
NPI:1497039168
Name:STOHR, ROBERT K
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:STOHR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N OLIVE DR APT 409
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-2752
Mailing Address - Country:US
Mailing Address - Phone:562-810-1040
Mailing Address - Fax:562-286-8584
Practice Address - Street 1:1222 N OLIVE DR APT 409
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2752
Practice Address - Country:US
Practice Address - Phone:562-810-1040
Practice Address - Fax:562-286-8584
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2019-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27546106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist