Provider Demographics
NPI:1255530473
Name:ROBINSON, LAURIE KAREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:KAREN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 QUIET RIVER AVENUE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-7218
Mailing Address - Country:US
Mailing Address - Phone:713-858-4231
Mailing Address - Fax:
Practice Address - Street 1:1339 QUIET RIVER AVENUE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-7218
Practice Address - Country:US
Practice Address - Phone:713-858-4231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0524103T00000X
TX31768103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist