Provider Demographics
NPI:1417162686
Name:ROBINSON, FREDERICK HANSON (MDIV, MS, MA)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:HANSON
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MDIV, MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 LAGUNA NIGEL DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-5567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:520-515-9013
Practice Address - Street 1:400 W FRY BLVD STE 14
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1760
Practice Address - Country:US
Practice Address - Phone:520-249-6825
Practice Address - Fax:520-515-9013
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral