Provider Demographics
NPI:1962815902
Name:VANWINKLE, ROBBIN
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:
Last Name:VANWINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 PRAIRIE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-7800
Mailing Address - Country:US
Mailing Address - Phone:918-331-6718
Mailing Address - Fax:
Practice Address - Street 1:1200 PRAIRIE HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7800
Practice Address - Country:US
Practice Address - Phone:918-331-6718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation