Healthcare Provider Details

I. General information

NPI: 1205075173
Provider Name (Legal Business Name): SHARI ANN ROBINSON PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2009
Last Update Date: 02/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 SW 87TH TER
GAINESVILLE FL
32608-8761
US

IV. Provider business mailing address

7409 SW 87TH TER
GAINESVILLE FL
32608-8761
US

V. Phone/Fax

Practice location:
  • Phone: 352-226-1521
  • Fax: 352-392-8452
Mailing address:
  • Phone: 352-226-1521
  • Fax: 352-392-8452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY7614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: