Provider Demographics
NPI:1649568817
Name:ROBINSON, KRIS ANN (PSYD, LP)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:DR
Other - First Name:KRIS
Other - Middle Name:ANN
Other - Last Name:ROBINSON WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, LP
Mailing Address - Street 1:1021 RANCH ROAD 620 S
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5611
Mailing Address - Country:US
Mailing Address - Phone:512-920-3356
Mailing Address - Fax:
Practice Address - Street 1:1021 RANCH ROAD 620 S
Practice Address - Street 2:SUITE B
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5611
Practice Address - Country:US
Practice Address - Phone:512-920-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36958103G00000X
MNLP4526103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist