Healthcare Provider Details

I. General information

NPI: 1538355466
Provider Name (Legal Business Name): ROBIN H. EXUM-CALHOUN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10580 LIGON MILL RD STE 210
WAKE FOREST NC
27587-6090
US

IV. Provider business mailing address

10580 LIGON MILL RD STE 210
WAKE FOREST NC
27587-6090
US

V. Phone/Fax

Practice location:
  • Phone: 919-263-9592
  • Fax: 909-263-9670
Mailing address:
  • Phone: 919-263-9592
  • Fax: 909-263-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35S100399100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3325
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number35S100399100
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number35S100399100
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35S100399100
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number3325
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number3325
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number35S100399100
License Number StateNJ
# 9
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number3325
License Number StateNC
# 10
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3325
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: