Provider Demographics
NPI:1336173053
Name:SCHEAR, ROBERTA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:J
Last Name:SCHEAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1730
Mailing Address - Country:US
Mailing Address - Phone:510-655-7240
Mailing Address - Fax:510-601-0709
Practice Address - Street 1:5460 CARLTON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1730
Practice Address - Country:US
Practice Address - Phone:510-655-7240
Practice Address - Fax:510-601-0709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5076103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical