Doctor Name: | MR. DANIEL MELTON ROBINSON |
NPI Number: | 1144376013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W., L.P.C. |
License Number: | 000238 |
Business Practice Address: | 11437 S Magnolia Dr Dexter, MO - 638419401 |
Business Phone Number: | 5736246969 |
Business Fax Number: | 5736245882 |
Mailing Address: | 11437 S Magnolia Dr, DEXTER |
State: | MO |
Postal Code: | 638419401 |
Phone Number: | 5736246969 |
Fax Number: | 5736245882 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000238 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |