Provider Demographics
NPI:1144349416
Name:ROBINSON, CLAUDE J JR (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:J
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 S DAVID LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3203
Mailing Address - Country:US
Mailing Address - Phone:865-444-4037
Mailing Address - Fax:865-315-7536
Practice Address - Street 1:112 S DAVID LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3203
Practice Address - Country:US
Practice Address - Phone:865-444-4037
Practice Address - Fax:865-315-7536
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2575101YP2500X
TN3076103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1525292Medicaid