Provider Demographics
NPI:1245078237
Name:ROBBINS, PATRICIA J
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:ROBBINS
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 1:36 MCGEE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ELKLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65644-8514
Mailing Address - Country:US
Mailing Address - Phone:417-766-4329
Mailing Address - Fax:
Practice Address - Street 1:777 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-2218
Practice Address - Country:US
Practice Address - Phone:417-840-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024026956101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor