Doctor Name: | DR. VICKIE L ROBBINS |
NPI Number: | 1417046962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 41676 |
Business Practice Address: | 125 Mauldin Ln Pontotoc, MS - 388631544 |
Business Phone Number: | 6624191824 |
Business Fax Number: | 6624894817 |
Mailing Address: | 125 Mauldin Ln, P.o Box 1023 PONTOTOC |
State: | MS |
Postal Code: | 388631544 |
Phone Number: | 6624291824 |
Fax Number: | 6624894817 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 41676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |