Provider Demographics
NPI:1952850711
Name:DRM PSYCHOLOGICAL SERVICES CORPORATION
Entity Type:Organization
Organization Name:DRM PSYCHOLOGICAL SERVICES CORPORATION
Other - Org Name:NA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DONSHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON-MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-384-8361
Mailing Address - Street 1:300 E BONITA AVE UNIT 4068
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-6198
Mailing Address - Country:US
Mailing Address - Phone:626-384-8361
Mailing Address - Fax:626-270-4011
Practice Address - Street 1:1191 E WALNUT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1868
Practice Address - Country:US
Practice Address - Phone:626-384-8361
Practice Address - Fax:626-270-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty