Provider Demographics
NPI:1013057967
Name:ROBISON, KATHERINE A (PHD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:ROBISON
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 1:3350 RIDGELAKE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3836
Mailing Address - Country:US
Mailing Address - Phone:504-913-2688
Mailing Address - Fax:888-785-9496
Practice Address - Street 1:3350 RIDGELAKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3836
Practice Address - Country:US
Practice Address - Phone:504-913-2688
Practice Address - Fax:888-785-9496
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA941103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA941OtherLICENSE