Provider Demographics
NPI:1811722192
Name:ROBINSON, SHARON V (PHD LMFT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:V
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 PECK RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-1309
Mailing Address - Country:US
Mailing Address - Phone:909-285-7932
Mailing Address - Fax:
Practice Address - Street 1:4735 PECK RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-1309
Practice Address - Country:US
Practice Address - Phone:909-285-7932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT0002664106H00000X
CALMFT148204106H00000X
TX205634106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist