Healthcare Provider Details

I. General information

NPI: 1932682580
Provider Name (Legal Business Name): LEIGHA MARIE ROBINSON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 S ST NW
WASHINGTON DC
20009-6107
US

IV. Provider business mailing address

1755 S ST NW
WASHINGTON DC
20009-6107
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-7738
  • Fax:
Mailing address:
  • Phone: 202-234-7738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberPSYA00388
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: