Doctor Name: | DR. SOPHIA ANASTASIA ROBINSON |
NPI Number: | 1063550267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY14286 |
Business Practice Address: | 17451 Bastanchury Rd Ste. 204-13 Yorba Linda, CA - 928861857 |
Business Phone Number: | 7147792939 |
Business Fax Number: | |
Mailing Address: | 17451 Bastanchury Rd, Ste. 204-13 YORBA LINDA |
State: | CA |
Postal Code: | 928861857 |
Phone Number: | 7147792939 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 11/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PSY14286 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |