Provider Demographics
NPI:1326189994
Name:ROBINSON, TAKINA T (BA)
Entity Type:Individual
Prefix:MISS
First Name:TAKINA
Middle Name:T
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 COVENTRY DR
Mailing Address - Street 2:APT236
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-5374
Mailing Address - Country:US
Mailing Address - Phone:661-834-5818
Mailing Address - Fax:
Practice Address - Street 1:2916 EYE ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2011
Practice Address - Country:US
Practice Address - Phone:661-636-0566
Practice Address - Fax:661-636-0573
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health