Provider Demographics
NPI:1891075875
Name:ROBBINS, DANISHA LEXINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANISHA
Middle Name:LEXINE
Last Name:ROBBINS
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 1:12TH ARMORED DIVISION AVENUE
Mailing Address - Street 2:BUILDING 1480
Mailing Address - City:FT. KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-5102
Mailing Address - Country:US
Mailing Address - Phone:502-626-6201
Mailing Address - Fax:502-626-6223
Practice Address - Street 1:289 IRELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-5111
Practice Address - Country:US
Practice Address - Phone:502-626-6201
Practice Address - Fax:502-626-6223
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2342103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical