Provider Demographics
NPI:1487843827
Name:ROBINSON, GINA M (MA)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 MOLTON WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1923
Mailing Address - Country:US
Mailing Address - Phone:443-436-0070
Mailing Address - Fax:
Practice Address - Street 1:2507 MOLTON WAY
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1923
Practice Address - Country:US
Practice Address - Phone:443-436-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health