Provider Demographics
NPI:1770865438
Name:ROBBINS, THOMAS D (PHD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:D
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 HUGHES RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4331
Mailing Address - Country:US
Mailing Address - Phone:502-648-2155
Mailing Address - Fax:
Practice Address - Street 1:3511 HUGHES RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4331
Practice Address - Country:US
Practice Address - Phone:502-648-2155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist