| Doctor Name: | DR. EILEEN DENISE ROBERTS |
| NPI Number: | 1447309216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY2948 |
| Business Practice Address: | 425 Healdsburg Ave Healdsburg, CA - 954483814 |
| Business Phone Number: | 7073389084 |
| Business Fax Number: | |
| Mailing Address: | 121 Zinfandel Ct, CLOVERDALE |
| State: | CA |
| Postal Code: | 954253682 |
| Phone Number: | 7073389084 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY2948 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |