Provider Demographics
NPI:1487771291
Name:ROBSON, KAREN S (MFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:ROBSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 PRIMROSE RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4064
Mailing Address - Country:US
Mailing Address - Phone:650-344-3129
Mailing Address - Fax:650-344-3129
Practice Address - Street 1:405 PRIMROSE RD
Practice Address - Street 2:SUITE 309
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4064
Practice Address - Country:US
Practice Address - Phone:650-344-3129
Practice Address - Fax:650-344-3129
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist