Provider Demographics
NPI:1164112959
Name:CLOSSON, ROBIN E (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:E
Last Name:CLOSSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KENNEDY AVE UNIT 5205
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5891
Mailing Address - Country:US
Mailing Address - Phone:302-559-3906
Mailing Address - Fax:
Practice Address - Street 1:106 IRVING ST NW STE 2300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2959
Practice Address - Country:US
Practice Address - Phone:301-367-4827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty