Healthcare Provider Details

I. General information

NPI: 1033886924
Provider Name (Legal Business Name): DOUGLAS P. ROBINSON MA LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7077 NORTHLAND CIR N STE 330
MINNEAPOLIS MN
55428-1567
US

IV. Provider business mailing address

7077 NORTHLAND CIR N STE 330
MINNEAPOLIS MN
55428-1567
US

V. Phone/Fax

Practice location:
  • Phone: 763-458-7405
  • Fax:
Mailing address:
  • Phone: 763-458-7405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3248
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: