Provider Demographics
NPI:1518250984
Name:ROBINSON-HUDSON, SARAH (PSYD, MA)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:ROBINSON-HUDSON
Suffix:
Gender:F
Credentials:PSYD, MA
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, MA
Mailing Address - Street 1:15404 EAGLE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7590
Mailing Address - Country:US
Mailing Address - Phone:952-212-0080
Mailing Address - Fax:
Practice Address - Street 1:1713 SOUTHCROSS DR W
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-7012
Practice Address - Country:US
Practice Address - Phone:952-212-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5890103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist