Provider Demographics
NPI:1205225463
Name:ROBBINS, MONA ANGELIQUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONA
Middle Name:ANGELIQUE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MONA
Other - Middle Name:ANGELIQUE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-648-8215
Mailing Address - Fax:
Practice Address - Street 1:2201 INWOOD RD MC 8590
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:214-648-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36987103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist