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Contact Information

ROBERT M AWALT, PSY.D. AND LCSW
3420 KENYON ST
SAN DIEGO, CA92110-5001
 Phone: 619-221-6550
 Fax: 619-221-6556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT M AWALT · (Male)

NPI # 1790980829
Status Active
Credentials PSY.D. AND LCSW
Entity Individual
Enumeration date 06/19/2007
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY16566
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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