Provider Demographics
NPI:1750305082
Name:ROBINSON, DORIS ELAINE (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:ELAINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 STENTON AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3231
Mailing Address - Country:US
Mailing Address - Phone:215-248-1970
Mailing Address - Fax:215-248-2975
Practice Address - Street 1:7600 STENTON AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3231
Practice Address - Country:US
Practice Address - Phone:215-248-1970
Practice Address - Fax:215-248-2975
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASWOO6590L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist