Healthcare Provider Details

I. General information

NPI: 1891183463
Provider Name (Legal Business Name): TRICIA ROBINSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5136 COMMUNITY CENTER DR
USAF ACADEMY CO
80840-3002
US

IV. Provider business mailing address

PO BOX 10403
COLORADO SPRINGS CO
80932-1403
US

V. Phone/Fax

Practice location:
  • Phone: 719-333-5177
  • Fax:
Mailing address:
  • Phone: 410-269-9954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0004707
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number05805
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: