Doctor Name: | DR. ROBIN WRIGHT WHITFIELD |
NPI Number: | 1104930114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | SS881 |
Business Practice Address: | 230 Main St Park Forest, IL - 604662098 |
Business Phone Number: | 4042902731 |
Business Fax Number: | |
Mailing Address: | 4509 Berringer Dr, NICEVILLE |
State: | FL |
Postal Code: | 325784259 |
Phone Number: | 4042902731 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | SS881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |