Provider Demographics
NPI:1417389248
Name:ROBINSON, PRINCESS VERNITA
Entity Type:Individual
Prefix:MS
First Name:PRINCESS
Middle Name:VERNITA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PRINCESS
Other - Middle Name:ZAHIRAH
Other - Last Name:SABIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:401 GRAND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-5054
Mailing Address - Country:US
Mailing Address - Phone:510-834-4006
Mailing Address - Fax:510-834-4010
Practice Address - Street 1:401 GRAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-5054
Practice Address - Country:US
Practice Address - Phone:510-834-4006
Practice Address - Fax:510-834-4010
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health