Provider Demographics
NPI:1275754673
Name:ROBINSON, ELIZABETH M (LMFT ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMFT ATR-BC
Other - Prefix:MS
Other - First Name:BES
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SAME
Mailing Address - Street 1:40 ALAMO CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3423
Mailing Address - Country:US
Mailing Address - Phone:413-827-4282
Mailing Address - Fax:413-827-0182
Practice Address - Street 1:2112 RIVERDALE ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1024
Practice Address - Country:US
Practice Address - Phone:413-827-4282
Practice Address - Fax:413-827-0182
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25122106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist