Healthcare Provider Details

I. General information

NPI: 1366969404
Provider Name (Legal Business Name): ALEXANDRA M ROBINSON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALIX ROBINSON PHD

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 CLIFF DR STE F
SANTA BARBARA CA
93109-1650
US

IV. Provider business mailing address

1819 CLIFF DR STE F
SANTA BARBARA CA
93109-1650
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-2400
  • Fax: 213-383-4803
Mailing address:
  • Phone: 805-586-2400
  • Fax: 213-383-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY31997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: