MEDICARE: ROBBINS AND ROBBINS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	963	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1396733879	OTHER	OK	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1194900753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBBINS AND ROBBINS, INC.

Provider Business Mailing Address
First Line	:	1225 W MAIN ST
Second Line	:	SUITE 102
City	:	NORMAN
State	:	OK
Zip	:	73069-6824
Country	:	US
Telephone Number	:	405-292-1000
Fax Number	:	405-801-2506

Provider Business Practice Location Address
First Line	:	1225 W MAIN ST
Second Line	:	SUITE 102
City	:	NORMAN
State	:	OK
Zip	:	73069-6824
Country	:	US
Telephone Number	:	405-292-1000
Fax Number	:	405-801-2506

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. SHARLA D. ROBBINS
Credential	:	PH.D.
Telephone Number	:	405-292-1000

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/02/2008

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