Provider Demographics
NPI:1386785756
Name:NEIMS, MYRNA ROBINS (PHD)
Entity type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:ROBINS
Last Name:NEIMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 NW 43RD ST
Mailing Address - Street 2:SUITE2C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6675
Mailing Address - Country:US
Mailing Address - Phone:352-378-0900
Mailing Address - Fax:352-378-7849
Practice Address - Street 1:2610 NW 43RD ST
Practice Address - Street 2:SUITE2C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6675
Practice Address - Country:US
Practice Address - Phone:352-378-0900
Practice Address - Fax:352-378-7849
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMHC00072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health