Provider Demographics
NPI:1184897340
Name:ROBINSON, JOAN L (PSYD, LP, LMFT)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD, LP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 WATER PL SE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7407
Mailing Address - Country:US
Mailing Address - Phone:770-916-9020
Mailing Address - Fax:770-916-9740
Practice Address - Street 1:1830 WATER PL SE
Practice Address - Street 2:SUITE 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7407
Practice Address - Country:US
Practice Address - Phone:770-916-9020
Practice Address - Fax:770-916-9740
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001030106H00000X
GAPSY003302103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist