Healthcare Provider Details

I. General information

NPI: 1982676995
Provider Name (Legal Business Name): ROBIN L BROWN PHD. LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 7TH AVE BOX 17
ANOKA MN
55303-4516
US

IV. Provider business mailing address

1025 THOMAS AVE S
MINNEAPOLIS MN
55405-2114
US

V. Phone/Fax

Practice location:
  • Phone: 763-712-4348
  • Fax: 763-712-4178
Mailing address:
  • Phone: 763-712-4348
  • Fax: 763-712-4178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberLP3171
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP3171
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP3171
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: