Provider Demographics
NPI:1316765316
Name:ROBINSON, TYKERRIAH SHABYRIA
Entity type:Individual
Prefix:
First Name:TYKERRIAH
Middle Name:SHABYRIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 WALNUT ST LOT 59
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-7443
Mailing Address - Country:US
Mailing Address - Phone:334-759-9235
Mailing Address - Fax:
Practice Address - Street 1:4100 WALNUT ST LOT 59
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36804-7443
Practice Address - Country:US
Practice Address - Phone:334-759-9235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker