Healthcare Provider Details

I. General information

NPI: 1356620041
Provider Name (Legal Business Name): ROBIN TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 W KINGS AVE
N, LAS VEGAS NV
89030
US

IV. Provider business mailing address

344 KINGS AVE
N LAS VEGAS NV
89030-3842
US

V. Phone/Fax

Practice location:
  • Phone: 702-303-1949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: