Provider Demographics
NPI:1124730072
Name:ROBINSON, MARTITA (MA)
Entity type:Individual
Prefix:MRS
First Name:MARTITA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 BAXTER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1139
Mailing Address - Country:US
Mailing Address - Phone:940-923-4188
Mailing Address - Fax:
Practice Address - Street 1:57 BAXTER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1139
Practice Address - Country:US
Practice Address - Phone:940-923-4188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health