Provider Demographics
NPI:1427050996
Name:LADUE, ROBIN ANNETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ANNETTE
Last Name:LADUE
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 1:1500 BENSON RD S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4455
Mailing Address - Country:US
Mailing Address - Phone:425-277-5616
Mailing Address - Fax:206-782-8312
Practice Address - Street 1:1500 BENSON RD S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4455
Practice Address - Country:US
Practice Address - Phone:425-277-5616
Practice Address - Fax:206-782-8312
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA954103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist