Provider Demographics
NPI:1801104369
Name:ROBINSON, SUE BURDETT (PHD, LPC-S)
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:BURDETT
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:SUE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LPC-S
Mailing Address - Street 1:2200 HICKORY ST
Mailing Address - Street 2:DEPARTMENT OF COUNSELING AND HUMAN DEVELOPMENT
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2345
Mailing Address - Country:US
Mailing Address - Phone:325-670-1297
Mailing Address - Fax:325-670-1359
Practice Address - Street 1:2200 HICKORY ST
Practice Address - Street 2:DEPARTMENT OF COUNSELING AND HUMAN DEVELOPMENT
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2345
Practice Address - Country:US
Practice Address - Phone:325-670-1297
Practice Address - Fax:325-670-1359
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60384101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional