Provider Demographics
NPI:1699056002
Name:ROBBIINS, LOLITA THERESA (PSYD)
Entity type:Individual
Prefix:DR
First Name:LOLITA
Middle Name:THERESA
Last Name:ROBBIINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 PRESTON PARK BLVD
Mailing Address - Street 2:APT. 2036
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5171
Mailing Address - Country:US
Mailing Address - Phone:214-282-5902
Mailing Address - Fax:
Practice Address - Street 1:4701 PRESTON PARK BLVD
Practice Address - Street 2:APT. 2036
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5171
Practice Address - Country:US
Practice Address - Phone:214-282-5902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34958103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical