Doctor Name: | DR. RANDALL CURTIS ROBINSON |
NPI Number: | 1245353184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD. |
License Number: | 3020 |
Business Practice Address: | 925 Main St Walpole, MA - 020812966 |
Business Phone Number: | 5086685254 |
Business Fax Number: | 5086685254 |
Mailing Address: | 925 Main St, WALPOLE |
State: | MA |
Postal Code: | 020812966 |
Phone Number: | 5086685254 |
Fax Number: | 5086685254 |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |