Provider Demographics
NPI:1073250460
Name:ROBINSON, EMILY MIYOKO
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MIYOKO
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 STONE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-8763
Mailing Address - Country:US
Mailing Address - Phone:316-847-1698
Mailing Address - Fax:
Practice Address - Street 1:106 W 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67117-8073
Practice Address - Country:US
Practice Address - Phone:316-804-7240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical