Provider Demographics
NPI:1417099276
Name:ESTRADA, ROBIN BARBARA PRICE (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:BARBARA PRICE
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:P
Other - Last Name:SORIANO ESTRADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2982
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94064-2982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 WINWARD WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94404-2469
Practice Address - Country:US
Practice Address - Phone:650-931-1800
Practice Address - Fax:650-931-1897
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22383103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical