Provider Demographics
NPI:1306059555
Name:GOOD, ROBIN L (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:L
Last Name:GOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:170 W 73RD ST
Mailing Address - Street 2:LOBBY SUITE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3006
Mailing Address - Country:US
Mailing Address - Phone:212-769-2251
Mailing Address - Fax:914-478-7138
Practice Address - Street 1:170 W 73RD ST
Practice Address - Street 2:LOBBY SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3006
Practice Address - Country:US
Practice Address - Phone:212-769-2251
Practice Address - Fax:914-478-7138
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7577-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical