Doctor Name: | MR. ROBERT DANIEL ROBINSON |
NPI Number: | 1003131897 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC2579 |
Business Practice Address: | 4785 Dorsey Hall Dr Ellicott City, MD - 210427728 |
Business Phone Number: | 4105315087 |
Business Fax Number: | 4109972059 |
Mailing Address: | 4785 Dorsey Hall Dr, ELLICOTT CITY |
State: | MD |
Postal Code: | 210427728 |
Phone Number: | 4105315087 |
Fax Number: | 4109972059 |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC2579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |