Provider Demographics
NPI:1932790672
Name:ROBINSON, TALIA LOREN (PHD)
Entity Type:Individual
Prefix:
First Name:TALIA
Middle Name:LOREN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:3496 COLONNADE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-3295
Mailing Address - Country:US
Mailing Address - Phone:850-345-1228
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6106
Practice Address - Country:US
Practice Address - Phone:617-525-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist