Brenton Roman, Psy.D.
Psychologist, Clinical in Chula Vista, CA. Individual provider (NPI-1).
NPI number1669947792
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1669947792
- Entity type
- Individual (NPI-1)
- Name
- Brenton Roman
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2018
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY30333 | CA | Yes |
Practice location
865 3rd AveChula Vista, CA 91911-1300
Phone 619-409-1600
Mailing address
6161 El Cajon Blvd Ste B509San Diego, CA 92115-3922
Phone 203-513-1208
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