MEDICARE: ERICA JO ROBINSON

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	101Y00000X	Counselor	23019	IA

General Provider Information

NPI Number	:	1437021714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA JO ROBINSON

Provider Business Mailing Address
First Line	:	2211 18TH AVE
Second Line	:
City	:	DE WITT
State	:	IA
Zip	:	52742-1006
Country	:	US
Telephone Number	:	319-538-4327
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 N HARRISON ST STE 400
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52806-5911
Country	:	US
Telephone Number	:	563-388-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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