Provider Demographics
NPI:1891017810
Name:ROBINSON, ROSALIND RENE (MS)
Entity Type:Individual
Prefix:MS
First Name:ROSALIND
Middle Name:RENE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N 77TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3708
Mailing Address - Country:US
Mailing Address - Phone:480-945-3302
Mailing Address - Fax:480-945-9308
Practice Address - Street 1:1200 N 77TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3708
Practice Address - Country:US
Practice Address - Phone:480-945-3302
Practice Address - Fax:480-945-9308
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-0283101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)