Provider Demographics
NPI:1780025684
Name:ROBINNSON, CARL (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:ROBINNSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:MISS
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDC
Mailing Address - Street 1:3030 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7763
Mailing Address - Country:US
Mailing Address - Phone:214-448-3763
Mailing Address - Fax:214-448-3763
Practice Address - Street 1:3030 LBJ FREEWAY STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:214-448-3763
Practice Address - Fax:214-448-3763
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral