Provider Demographics
NPI:1326255530
Name:ROBINSON, CHERYL ANNETTE (PSYD, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANNETTE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:DR
Other - First Name:C.
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LPC
Mailing Address - Street 1:875 N ELDRIDGE PKWY
Mailing Address - Street 2:# 441
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2707
Mailing Address - Country:US
Mailing Address - Phone:713-681-6991
Mailing Address - Fax:713-681-9089
Practice Address - Street 1:2616 S LOOP W
Practice Address - Street 2:SUITE 602
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2662
Practice Address - Country:US
Practice Address - Phone:713-349-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20236101YP2500X
IL20236101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1824393-01Medicaid
TX182493-02Medicaid