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General NPI Number Information
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NPI Number | 1780073940
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Entity Type | Organization
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Legal Business Name | KRIS ROBINSON PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 1021 RANCH ROAD 620 S SUITE B
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City | LAKEWAY
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State | TX
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Zip | 78734-5611
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Country | US
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Telephone | 512-920-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 RANCH ROAD 620 S SUITE B
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City | LAKEWAY
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State | TX
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Zip | 78734-5611
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Country | US
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Telephone | 512-920-3356
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST, MANAGING DIRECTOR
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Name | DR. KRIS ANN ROBINSON
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Credential | PSYD, LP
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Telephone | 512-920-3356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36958
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 36958
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License Number State | TX
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