Provider Demographics
NPI:1861812471
Name:HINDSMAN, ROBIN LIVIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LIVIA
Last Name:HINDSMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3700 CRESTWOOD PKWY NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5599
Mailing Address - Country:US
Mailing Address - Phone:678-924-5723
Mailing Address - Fax:678-924-5757
Practice Address - Street 1:3700 CRESTWOOD PKWY NW
Practice Address - Street 2:SUITE 500
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5599
Practice Address - Country:US
Practice Address - Phone:678-924-5723
Practice Address - Fax:678-924-5757
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1654-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical