Provider Demographics
NPI:1083750434
Name:GREGSON, ROBBIN ILEEN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:ROBBIN
Middle Name:ILEEN
Last Name:GREGSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24520 HAWTHORNE BLVD
Mailing Address - Street 2:STE. 106
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6800
Mailing Address - Country:US
Mailing Address - Phone:310-768-2369
Mailing Address - Fax:310-514-3181
Practice Address - Street 1:24520 HAWTHORNE BLVD
Practice Address - Street 2:STE. 106
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6800
Practice Address - Country:US
Practice Address - Phone:310-768-2369
Practice Address - Fax:310-514-3181
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31330106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist