Healthcare Provider Details

I. General information

NPI: 1508059262
Provider Name (Legal Business Name): ROBIN R. SOBANSKY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 UNION DR SUITE 206
LINCOLN NE
68516-6652
US

IV. Provider business mailing address

3801 UNION DR SUITE 206
LINCOLN NE
68516-6652
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-2218
  • Fax: 402-489-3666
Mailing address:
  • Phone: 402-489-2218
  • Fax: 402-489-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number307
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: