Provider Demographics
NPI:1023660362
Name:ROBINSON, FAWN T (PHD, NCC, LPC)
Entity type:Individual
Prefix:DR
First Name:FAWN
Middle Name:T
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 S CRAIG ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3748
Mailing Address - Country:US
Mailing Address - Phone:412-228-0637
Mailing Address - Fax:
Practice Address - Street 1:305 S CRAIG ST STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3748
Practice Address - Country:US
Practice Address - Phone:412-228-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional