Healthcare Provider Details

I. General information

NPI: 1477332773
Provider Name (Legal Business Name): ADAM ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28407 STATE ROUTE 7
MARIETTA OH
45750-5152
US

IV. Provider business mailing address

423 PHILLIPS ST APT B
MARIETTA OH
45750-3473
US

V. Phone/Fax

Practice location:
  • Phone: 740-371-5476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: