Provider Demographics
NPI:1154162931
Name:ROBINSON, AISHE AMIRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:AISHE
Middle Name:AMIRA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4570 PORTOFINO WAY APT 307
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8108
Mailing Address - Country:US
Mailing Address - Phone:904-610-7373
Mailing Address - Fax:
Practice Address - Street 1:3900 WOODLAKE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3010
Practice Address - Country:US
Practice Address - Phone:904-610-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1872103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool