Robert S Aban, M.A., IMF

Individual provider Active NPI Marriage & Family Therapist · San Bernardino, CA

NPI 1154430247 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154430247
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
IMF38331
Practice address
1053 N D St
San Bernardino, CA 92410-3521
Phone
(909) 886-1691
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF38331 Yes

Addresses

Primary practice location

1053 N D St
San Bernardino, CA 92410-3521

Mailing address

1053 N D St
San Bernardino, CA 92410-3521
Phone (951) 279-5698

Other providers in San Bernardino, CA

All providers in San Bernardino, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.