Provider Demographics
NPI:1881833911
Name:ROBINSON, REED J (PHD)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:J
Last Name:ROBINSON
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 1:6363 FOREST PARK RD
Mailing Address - Street 2:BL07.422
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9119
Mailing Address - Country:US
Mailing Address - Phone:214-645-8300
Mailing Address - Fax:
Practice Address - Street 1:6363 FOREST PARK RD
Practice Address - Street 2:BL07.422
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9119
Practice Address - Country:US
Practice Address - Phone:214-645-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34563103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist