MEDICARE: DR. NATASHIA ROBBINS PH.D.

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	4101006382	MI

General Provider Information

NPI Number	:	1811493745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATASHIA ROBBINS PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	MASON
State	:	MI
Zip	:	48854-0010
Country	:	US
Telephone Number	:	517-676-9788
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 W GRAND RIVER AVE
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-2303
Country	:	US
Telephone Number	:	810-522-8432
Fax Number	:

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

Provider Enumeration Date	:	03/31/2018
Last Update Date	:	04/09/2020

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