Provider Demographics
NPI:1942396916
Name:ROBBINS, PATRICK T (BS-SOCIOLOGY)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:T
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:BS-SOCIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 VICKSBURG
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2560
Mailing Address - Country:US
Mailing Address - Phone:714-226-9888
Mailing Address - Fax:
Practice Address - Street 1:2569 W WOODLAND DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2608
Practice Address - Country:US
Practice Address - Phone:714-226-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor