Provider Demographics
NPI:1295873917
Name:ROBINSON WEISSHAUPT, SYLVIA BERTHA (PMHNP PHD LLC)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:BERTHA
Last Name:ROBINSON WEISSHAUPT
Suffix:
Gender:F
Credentials:PMHNP PHD LLC
Other - Prefix:
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Mailing Address - Street 1:2170 ELK AVENUE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403
Mailing Address - Country:US
Mailing Address - Phone:541-343-7689
Mailing Address - Fax:541-343-7689
Practice Address - Street 1:2170 ELK AVENUE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403
Practice Address - Country:US
Practice Address - Phone:541-343-7689
Practice Address - Fax:541-343-7689
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00027989C101YM0800X
OR000027989N6363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health