Provider Demographics
NPI:1922593615
Name:FRAN ROBERSON PSYD
Entity Type:Organization
Organization Name:FRAN ROBERSON PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE MIGUEL ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-263-9561
Mailing Address - Street 1:2000 SANTA CLARA AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-2721
Mailing Address - Country:US
Mailing Address - Phone:510-263-9561
Mailing Address - Fax:510-995-8043
Practice Address - Street 1:2000 SANTA CLARA AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2721
Practice Address - Country:US
Practice Address - Phone:510-501-7342
Practice Address - Fax:510-878-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty