Provider Demographics
NPI:1750590675
Name:KAUFFMAN, ROBIN JILL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:JILL
Last Name:KAUFFMAN
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 1:8030 PETERS RD
Mailing Address - Street 2:D-106
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4038
Mailing Address - Country:US
Mailing Address - Phone:954-475-9503
Mailing Address - Fax:954-476-2369
Practice Address - Street 1:8030 PETERS RD
Practice Address - Street 2:D-106
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4038
Practice Address - Country:US
Practice Address - Phone:954-475-9503
Practice Address - Fax:954-476-2369
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical