Provider Demographics
NPI:1508854522
Name:BILLINGS, ROBIN LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LEE
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3487 BALD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2401
Mailing Address - Country:US
Mailing Address - Phone:248-371-0022
Mailing Address - Fax:248-480-0341
Practice Address - Street 1:2150 BUTTERFIELD DR STE 110
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3427
Practice Address - Country:US
Practice Address - Phone:248-935-4085
Practice Address - Fax:248-480-0341
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008634103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical