MEDICARE: STEPHANIE KARIS 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	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1932548575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE KARIS ROBINSON PH.D.

Provider Business Mailing Address
First Line	:	7222 LINDEN AVE N APT A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7222 LINDEN AVE N SUITE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103
Country	:	US
Telephone Number	:	360-504-8410
Fax Number	:

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

Provider Enumeration Date	:	06/17/2013
Last Update Date	:	06/03/2026

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