Healthcare Provider Details

I. General information

NPI: 1770492068
Provider Name (Legal Business Name): TANIA CAMILLA ROBINSON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 FOREST DR
WOOSTER OH
44691-2809
US

IV. Provider business mailing address

840 FOREST DR
WOOSTER OH
44691-2809
US

V. Phone/Fax

Practice location:
  • Phone: 330-201-1625
  • Fax:
Mailing address:
  • Phone: 330-201-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: