Healthcare Provider Details

I. General information

NPI: 1437395910
Provider Name (Legal Business Name): ROBIN D KOHLI HSPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E 91ST ST STE 210
INDIANAPOLIS IN
46240-1564
US

IV. Provider business mailing address

70 E 91ST ST STE 210
INDIANAPOLIS IN
46240-1564
US

V. Phone/Fax

Practice location:
  • Phone: 317-573-0149
  • Fax: 317-573-0154
Mailing address:
  • Phone: 317-573-0149
  • Fax: 317-573-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number20041804A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: