Provider Demographics
NPI:1538352364
Name:ROBINSON, PAMELA ANN (LPC, PSYD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC, PSYD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:HALPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4201 TUDOR CENTRE DR STE 320
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5916
Mailing Address - Country:US
Mailing Address - Phone:907-729-6337
Mailing Address - Fax:
Practice Address - Street 1:4315 DIPLOMACY DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5926
Practice Address - Country:US
Practice Address - Phone:907-729-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK48101YP2500X
AK575103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional