Provider Demographics
NPI:1568602571
Name:ROBINSON, KATRINA M (MSW, PPSC)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 CHETWOOD ST APT A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1489
Mailing Address - Country:US
Mailing Address - Phone:510-847-9587
Mailing Address - Fax:
Practice Address - Street 1:652 CHETWOOD ST APT A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1489
Practice Address - Country:US
Practice Address - Phone:510-847-9587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25110101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health