Provider Demographics
NPI:1316690795
Name:ROBINSON, BRITTANY ALICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ALICIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:ROBINSON
Other - Last Name:HERRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4500 HUGH HOWELL RD STE 430 PMB 1040
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084
Mailing Address - Country:US
Mailing Address - Phone:678-576-3626
Mailing Address - Fax:
Practice Address - Street 1:4500 HUGH HOWELL RD STE 430 PMB 1040
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:678-576-3626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004563103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist