Provider Demographics
NPI:1609026343
Name:REED-SPAULDING, ROBIN ALLISON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ALLISON
Last Name:REED-SPAULDING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 BREAKFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:SEWANEE
Mailing Address - State:TN
Mailing Address - Zip Code:37375-3037
Mailing Address - Country:US
Mailing Address - Phone:931-636-0010
Mailing Address - Fax:931-598-1261
Practice Address - Street 1:15260 SEWANEE HIGHWAY
Practice Address - Street 2:
Practice Address - City:SEWANEE
Practice Address - State:TN
Practice Address - Zip Code:37375-3037
Practice Address - Country:US
Practice Address - Phone:931-636-0010
Practice Address - Fax:931-598-1261
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN2196103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical