Individual
MRS. ROBIN RENAE BARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP, MA
Contact information
Practice address
3370 GLADE STREET, MUSKEGON, MI 49444-2278
(231) 737-1213
(231) 737-1218
Mailing address
3370 GLADE ST, MUSKEGON, MI 49444-2778
(231) 737-1213
(231) 737-1218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009658
MI
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11659660
CAQH
MI
01
—
P108978420
BCBS
MI
Enumeration date
02/07/2007
Last updated
10/08/2008
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