Provider Demographics
NPI:1841212495
Name:MCKNIGHT, ROBIN SKIDMORE (PHD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:SKIDMORE
Last Name:MCKNIGHT
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 1:2609 CAPITOL AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5904
Mailing Address - Country:US
Mailing Address - Phone:916-446-2341
Mailing Address - Fax:916-446-3315
Practice Address - Street 1:2609 CAPITOL AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5904
Practice Address - Country:US
Practice Address - Phone:916-446-2341
Practice Address - Fax:916-446-3315
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT15458106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist