Provider Demographics
NPI:1639336431
Name:ROBINSON, LORETTA
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LORETTA
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:8235 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:EMSWORTH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1454
Mailing Address - Country:US
Mailing Address - Phone:412-403-7815
Mailing Address - Fax:
Practice Address - Street 1:8235 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:EMSWORTH
Practice Address - State:PA
Practice Address - Zip Code:15202-1454
Practice Address - Country:US
Practice Address - Phone:412-403-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator