Provider Demographics
NPI:1245769397
Name:ROBINSON, CRYSTAL (PSY D)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:CRYTAL
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16901 DALLAS PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5200
Mailing Address - Country:US
Mailing Address - Phone:972-523-2958
Mailing Address - Fax:
Practice Address - Street 1:16901 DALLAS PKWY STE 107
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5200
Practice Address - Country:US
Practice Address - Phone:972-523-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202919106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist