Provider Demographics
NPI:1932364833
Name:ROBINSON-WOOD, GEOFFREY ALAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:ALAN
Last Name:ROBINSON-WOOD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 WINDMILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03223-4336
Mailing Address - Country:US
Mailing Address - Phone:603-536-1902
Mailing Address - Fax:603-536-1404
Practice Address - Street 1:182 WINDMILL RD
Practice Address - Street 2:
Practice Address - City:CAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03223-4336
Practice Address - Country:US
Practice Address - Phone:603-536-1902
Practice Address - Fax:603-536-1404
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1187103TC0700X, 103TC2200X, 103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3070564Medicaid
VT1016867Medicaid
VT1016867Medicaid