MEDICARE: DEONCA L 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	106H00000X	Marriage & Family Therapist	6986	SC

General Provider Information

NPI Number	:	1457373607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEONCA L ROBINSON

Provider Business Mailing Address
First Line	:	PO BOX 23321
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3321
Country	:	US
Telephone Number	:	843-876-1344
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 23321
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3321
Country	:	US
Telephone Number	:	843-876-1344
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	05/01/2024

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Directions to “ DEONCA L ROBINSON ” Practice Location

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