Provider Demographics
NPI:1013398429
Name:WINKS, ROBYN (LMFT)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:WINKS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1313
Mailing Address - Street 2:
Mailing Address - City:IDYLLWILD
Mailing Address - State:CA
Mailing Address - Zip Code:92549-1313
Mailing Address - Country:US
Mailing Address - Phone:951-537-8342
Mailing Address - Fax:951-659-5381
Practice Address - Street 1:26120 RIDGEVIEW DR.
Practice Address - Street 2:SUITE 202
Practice Address - City:IDYLLWILD
Practice Address - State:CA
Practice Address - Zip Code:92549
Practice Address - Country:US
Practice Address - Phone:951-537-8342
Practice Address - Fax:951-659-5381
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41454106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist