Provider Demographics
NPI:1215659073
Name:ROBINSON, PHARALYN (AMFT)
Entity type:Individual
Prefix:
First Name:PHARALYN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:PHARALYN
Other - Middle Name:
Other - Last Name:CROZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2034
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-8034
Mailing Address - Country:US
Mailing Address - Phone:504-339-1386
Mailing Address - Fax:
Practice Address - Street 1:690 E GREEN ST STE 202
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2197
Practice Address - Country:US
Practice Address - Phone:504-339-1386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health