Provider Demographics
NPI:1073258166
Name:ROBINSON, VINCENT EUGENE (LMSW)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:EUGENE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 DUNBLANE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6303
Mailing Address - Country:US
Mailing Address - Phone:254-217-5528
Mailing Address - Fax:254-743-0137
Practice Address - Street 1:1901 VETERANS MEMORIAL DR BLDG 215
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-217-5528
Practice Address - Fax:254-743-0137
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker