Provider Demographics
NPI:1982436200
Name:WRIGHT-ALEXANDER, ROBINA ELIZABETH
Entity type:Individual
Prefix:
First Name:ROBINA
Middle Name:ELIZABETH
Last Name:WRIGHT-ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 PEBBLE BEACH CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60484-2720
Mailing Address - Country:US
Mailing Address - Phone:708-248-4761
Mailing Address - Fax:
Practice Address - Street 1:20280 GOVERNORS HWY STE 105
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1068
Practice Address - Country:US
Practice Address - Phone:312-248-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178020337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health