| Dr Robert Steven Conboy, PHD | |
|
14901 Central Ave, California Inst For Men, Chino, CA 91710 | |
| (909) 597-1821 | |
| Not Available |
| Full Name | Dr Robert Steven Conboy |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Forensic |
| Location | 14901 Central Ave, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780953778 | NPI | - | NPPES |
| PSY13159 | Other | CA | PSYCHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | PSY13159 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Steven Conboy, PHD Po Box 131, Tustin, CA 92781 Ph: (714) 505-2952 | Dr Robert Steven Conboy, PHD 14901 Central Ave, California Inst For Men, Chino, CA 91710 Ph: (909) 597-1821 |
Dr. David Chuquimia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Theresa Marie Darrington, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4091 Riverside Dr, Ste 117, Chino, CA 91710 Phone: 909-287-3423 Fax: 909-902-0894 | |
Dr. Teri Renee Clipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Cathryn Irena Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12530 10th St, Suite D, Chino, CA 91710 Phone: 909-596-3577 Fax: 909-593-6456 | |
Randall Stewat Norris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-606-7226 | |
Dr. Jodi Raye Cabrera, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Stephanie Dianne Griffone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15180 Euclid Ave, Chino, CA 91710 Phone: 909-606-5000 Fax: 909-606-5075 |