MEDICARE: DR. STUART N ROBINSON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	32635	TX
2	103TA0700X	Adult Development & Aging Psychologist	32635	TX
3	103TB0200X	Cognitive & Behavioral Psychologist	32635	TX
4	103TC0700X	Clinical Psychologist	32635	TX
5	103TC1900X	Counseling Psychologist	32635	TX
6	103TH0004X	Health Psychologist	32635	TX
7	103TM1800X	Intellectual & Developmental Disabilities Psychologist	32635	TX
8	103TP2701X	Group Psychotherapy Psychologist	32635	TX
9	103TR0400X	Rehabilitation Psychologist	32635	TX
10	103G00000X	Clinical Neuropsychologist	32635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1043495104	OTHER	TX	GROUP NPI - LIVE MORE SIMPLY, INC
2	1326256801	OTHER		NPI
3	32635	OTHER	TX	PSYCHOLOGY LICENSE

General Provider Information

NPI Number	:	1326256801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART N ROBINSON PH.D.

Provider Business Mailing Address
First Line	:	7615 RIVERBROOK DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-4460
Country	:	US
Telephone Number	:	888-923-2256
Fax Number	:	888-923-2256

Provider Business Practice Location Address
First Line	:	5454 LA SIERRA DR STE 201
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2344
Country	:	US
Telephone Number	:	888-923-2256
Fax Number	:	888-923-2256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/25/2022

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Directions to “ DR. STUART N ROBINSON PH.D.” Practice Location

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