Provider Demographics
NPI:1740316967
Name:ROBERT ZINK, PH.D. AND ASSOCIATES
Entity type:Organization
Organization Name:ROBERT ZINK, PH.D. AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DANIELS
Authorized Official - Last Name:ZINK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-296-5802
Mailing Address - Street 1:2477 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2820
Mailing Address - Country:US
Mailing Address - Phone:619-296-5802
Mailing Address - Fax:619-297-6732
Practice Address - Street 1:2477 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2820
Practice Address - Country:US
Practice Address - Phone:619-296-5802
Practice Address - Fax:619-297-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4965103T00000X
CAPSY11406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty