Provider Demographics
NPI:1679566814
Name:ROBINSON, REBECCA HUNT (MA)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:HUNT
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:JANE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 W KENNEDY BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2976
Mailing Address - Country:US
Mailing Address - Phone:813-354-9444
Mailing Address - Fax:813-354-9436
Practice Address - Street 1:3333 W KENNEDY BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2976
Practice Address - Country:US
Practice Address - Phone:813-354-9444
Practice Address - Fax:813-354-9436
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 0004743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health