Doctor Name: | ROBERT S TASOFF |
NPI Number: | 1003838376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY11047 |
Business Practice Address: | 213 W Alameda Ave Suite 103 Burbank, CA - 915022571 |
Business Phone Number: | 8185672015 |
Business Fax Number: | 8183488799 |
Mailing Address: | 213 W Alameda Ave, Suite 103 BURBANK |
State: | CA |
Postal Code: | 915022571 |
Phone Number: | 8185672015 |
Fax Number: | 8183488799 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY11047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |