Provider Demographics
NPI:1790468999
Name:ROBINSON, KATIE KATHLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:KATHLEEN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 LAKE FORREST DR STE 575
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3879
Mailing Address - Country:US
Mailing Address - Phone:470-336-2830
Mailing Address - Fax:
Practice Address - Street 1:6000 LAKE FORREST DR STE 575
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3879
Practice Address - Country:US
Practice Address - Phone:470-336-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004722103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist