Provider Demographics
NPI:1003352675
Name:ROBINSON, ANDY (LAMFT)
Entity Type:Individual
Prefix:
First Name:ANDY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LAMFT
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:J
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAMFT
Mailing Address - Street 1:7493 147TH ST W
Mailing Address - Street 2:SUITE 107A
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4505
Mailing Address - Country:US
Mailing Address - Phone:651-303-8417
Mailing Address - Fax:
Practice Address - Street 1:7493 147TH ST W
Practice Address - Street 2:SUITE 107A
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4505
Practice Address - Country:US
Practice Address - Phone:651-303-8417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3222106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist