| Doctor Name: | HEATHER ROBINSON |
| NPI Number: | 1144403932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SCHOOL PSYCHOLOGIST |
| License Number: | 323023 |
| Business Practice Address: | 900 Central Ave Bayard, NM - 88023 |
| Business Phone Number: | 5755374000 |
| Business Fax Number: | 5755373921 |
| Mailing Address: | Po Box 1000, BAYARD |
| State: | NM |
| Postal Code: | 880231000 |
| Phone Number: | 5755374000 |
| Fax Number: | 5755373921 |
| NPI Enumeration Date: | 12/14/2007 |
| NPI Last Update Date: | 12/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 323023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |