MEDICARE: CRAIG H. ROBINSON, PH.D., 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	103TC0700X	Clinical Psychologist	119	HI

General Provider Information

NPI Number	:	1255660270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG H. ROBINSON, PH.D., INC.

Provider Business Mailing Address
First Line	:	1188 BISHOP ST STE 2702
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3311
Country	:	US
Telephone Number	:	808-533-6133
Fax Number	:	808-521-6654

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST STE 2702
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3311
Country	:	US
Telephone Number	:	808-533-6133
Fax Number	:	808-521-6654

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CRAIG H ROBINSON
Credential	:	PH.D.
Telephone Number	:	808-533-6133

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	12/22/2009

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