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General NPI Number Information
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NPI Number | 1851544571
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Entity Type | Organization
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Legal Business Name | ROBIN L. SUBLETT, PH.D., LLC
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Dates
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Enumeration Date | 10/25/2008
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Last Update Date | 10/25/2008
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Provider Practice Location Address
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Address Line | 159 SAINT MATTHEWS AVE SUITE #9
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City | LOUISVILLE
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State | KY
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Zip | 40207-3137
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Country | US
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Telephone | 502-744-0730
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Fax |
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Provider Business Mailing Address
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Address Line | 159 SAINT MATTHEWS AVE SUITE #9
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City | LOUISVILLE
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State | KY
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Zip | 40207-3137
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Country | US
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Telephone | 502-744-0730
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ROBIN LYNN SUBLETT
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Credential | PH.D.
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Telephone | 502-744-0730
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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 | KY-1192
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License Number State | KY
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