Provider Demographics
NPI:1215402409
Name:ROBINSON, JULIE ANN (CPRS)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 MOUNT WHITNEY
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424
Mailing Address - Country:US
Mailing Address - Phone:937-284-0543
Mailing Address - Fax:
Practice Address - Street 1:7502 MOUNT WHITNEY
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424
Practice Address - Country:US
Practice Address - Phone:937-284-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2019-05-28
Deactivation Date:2019-04-30
Deactivation Code:
Reactivation Date:2019-05-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator