Provider Demographics
NPI:1073860334
Name:ROBYN J. HANS, PSY.D., PC
Entity Type:Organization
Organization Name:ROBYN J. HANS, PSY.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:770-536-1360
Mailing Address - Street 1:2565 THOMPSON BRIDGE RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1723
Mailing Address - Country:US
Mailing Address - Phone:770-536-1360
Mailing Address - Fax:770-536-1316
Practice Address - Street 1:2565 THOMPSON BRIDGE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1723
Practice Address - Country:US
Practice Address - Phone:770-536-1360
Practice Address - Fax:770-536-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000884837BMedicaid