Provider Demographics
NPI:1528164027
Name:MICHAEL, ROBIN LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYNN
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:KOENIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:10901 RALSTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3529
Mailing Address - Country:US
Mailing Address - Phone:301-564-0323
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-5957
Practice Address - Fax:202-782-8387
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1483103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical