Provider Demographics
NPI:1740498336
Name:ROBBINS, PHILIP (PH D)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 STILES RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2899
Mailing Address - Country:US
Mailing Address - Phone:603-893-7700
Mailing Address - Fax:
Practice Address - Street 1:87 STILES RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2899
Practice Address - Country:US
Practice Address - Phone:603-893-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH610103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30005529Medicaid