Provider Demographics
NPI:1407034143
Name:ROBBINS, GAYLE (PHD)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WEATHERLY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30683-3922
Mailing Address - Country:US
Mailing Address - Phone:706-621-0333
Mailing Address - Fax:
Practice Address - Street 1:405 GAINES SCHOOL RD STE C
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3103
Practice Address - Country:US
Practice Address - Phone:706-621-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002812103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical