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NPI Code Detail

MEDICARE: DR. PAMELA ROBINSON DNP, PSYD

MEDICARE: DR. PAMELA ROBINSON DNP, PSYD
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
1364SP0812XCommunity Psychiatric/Mental Health Clinical Nurse Specialist4704333807MI
2363LF0000XFamily Nurse PractitionerCNP161033ME
3103TA0400XAddiction (Substance Use Disorder) Psychologist109346AK
4103TB0200XCognitive & Behavioral Psychologist109346AK
5103TC0700XClinical Psychologist109346AK
6103TP0016XPrescribing (Medical) Psychologist109346AK
7163WP0808XPsychiatric/Mental Health Registered Nurse4704333807MI
8364SC0200XCritical Care Medicine Clinical Nurse Specialist4704333807MI

General Provider Information

NPI Number : 1750920799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA ROBINSON DNP, PSYD
Provider Business Mailing Address
First Line : 8194 W DEER VALLEY RD # 505
Second Line :
City : PEORIA
State : AZ
Zip : 85382-2127
Country : US
Telephone Number : 602-427-8031
Fax Number :
Provider Business Practice Location Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 623-335-2628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2019
Last Update Date : 05/06/2020

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