Healthcare Provider Details

I. General information

NPI: 1437853884
Provider Name (Legal Business Name): DEBORAH ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-3718
US

IV. Provider business mailing address

3000 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-3718
US

V. Phone/Fax

Practice location:
  • Phone: 202-581-0490
  • Fax:
Mailing address:
  • Phone: 202-581-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: