Doctor Name: | JUDITH MARIE ROBINSON |
NPI Number: | 1023183860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. R.N.C.S. |
License Number: | 180-002949 |
Business Practice Address: | 708 Church St Suite 221 Evanston, IL - 602013875 |
Business Phone Number: | 8475011013 |
Business Fax Number: | |
Mailing Address: | 1500 Chicago Ave, EVANSTON |
State: | IL |
Postal Code: | 602014428 |
Phone Number: | 8474241236 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 08/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180-002949 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |