Provider Demographics
NPI:1033854039
Name:ROBINS, KENDALL DENA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:DENA
Last Name:ROBINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 ALLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-0766
Mailing Address - Country:US
Mailing Address - Phone:707-570-9948
Mailing Address - Fax:
Practice Address - Street 1:1510 ALLWOOD AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-0766
Practice Address - Country:US
Practice Address - Phone:707-570-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31244103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical