Provider Demographics
NPI:1467718601
Name:ROBINSON, LAQUESHA SHONTE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAQUESHA
Middle Name:SHONTE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 E. CARSON PLAZA DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746
Mailing Address - Country:US
Mailing Address - Phone:310-523-9500
Mailing Address - Fax:310-225-2725
Practice Address - Street 1:460 E. CARSON PLAZA DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746
Practice Address - Country:US
Practice Address - Phone:310-523-9500
Practice Address - Fax:310-225-2725
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC1031101YP2500X
CALMFT97654106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional