LOVE, YVONNE ROBLES (PSYD)

Provider Demographics

• NPI: 1902812811
• Name: LOVE, YVONNE ROBLES (PSYD)
• Entity Type: Individual
• Prefix: DR
• First Name: YVONNE
• Middle Name: ROBLES
• Last Name: LOVE
• Gender: F
• Credentials: PSYD
• Other - Prefix: DR
• Other - First Name: YVONNE
• Other - Last Name: MARTINEZ
• Other - Last Name Type: Former Name
• Other - Credentials: PSYD
• Mailing Address - Street 1: 2204 GARNET AVE
• Mailing Address - Street 2: SUITE 102
• Mailing Address - City: SAN DIEGO
• Mailing Address - State: CA
• Mailing Address - Zip Code: 92109-3771
• Mailing Address - Country: US
• Mailing Address - Phone: 559-250-5646
• Mailing Address - Fax: 619-821-8914
• Practice Address - Street 1: 2204 GARNET AVE
• Practice Address - Street 2: SUITE 102
• Practice Address - City: SAN DIEGO
• Practice Address - State: CA
• Practice Address - Zip Code: 92109-3771
• Practice Address - Country: US
• Practice Address - Phone: 559-250-5646
• Practice Address - Fax: 619-821-8914
• Is Sole Proprietor?: No
• Enumeration Date: 2006-07-31
• Last Update Date: 2017-05-08

Provider Licenses

State	License ID	Taxonomies
CA	PSY 18321	103T00000X
CA	PSY18321	103TC0700X, 101YM0800X, 103TF0200X, 103TB0200X, 103TA0400X, 103TR0400X
CA	117622	202C00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health
No	103TF0200X	Behavioral Health & Social Service Providers	Psychologist	Forensic
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)
No	103TR0400X	Behavioral Health & Social Service Providers	Psychologist	Rehabilitation
No	202C00000X	Allopathic & Osteopathic Physicians	Independent Medical Examiner

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	0PL183210	Other	BLUE SHIELD
CA	1659761849	Other	GROUP NPI
	PSY18321	Other	LICENSE #
CA	12755522	Other	CAQH
	1911930832	Other	CAQH ACH
	1911930832	Other	CAQH ACH
CA	1659761849	Other	GROUP NPI