Provider Demographics
NPI:1992012264
Name:ROBINSON, DEBRA A (PLPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12064 WENSLEY RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-7322
Mailing Address - Country:US
Mailing Address - Phone:314-322-7959
Mailing Address - Fax:
Practice Address - Street 1:14220 OLD HALLS FERRY RD STE 201
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2400
Practice Address - Country:US
Practice Address - Phone:314-322-7959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010010244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional