Doctor Name: | JAMES DAVID ROBINSON |
NPI Number: | 1003262270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 3676 Tree Haven Rd Pamplico, SC - 295835659 |
Business Phone Number: | 4124146562 |
Business Fax Number: | |
Mailing Address: | 3676 Tree Haven Rd, PAMPLICO |
State: | SC |
Postal Code: | 295835659 |
Phone Number: | 4124146562 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2016 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |