Provider Demographics
NPI:1639402241
Name:FRANCIS, ROBERTO (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1388 COURT ST STE A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1650
Mailing Address - Country:US
Mailing Address - Phone:303-381-4525
Mailing Address - Fax:
Practice Address - Street 1:1388 COURT ST STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1650
Practice Address - Country:US
Practice Address - Phone:303-381-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30990103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical