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Individual

DR. JONATHAN CRAWFORD ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
700 SUNSET DRIVE, BLDG 200, SUITE 202, ATHENS, GA 30606
(706) 353-8188
(706) 613-0848
Mailing address
700 SUNSET DRIVE, BLDG 200, SUITE 202, ATHENS, GA 30606
(706) 353-8188
(706) 613-0848

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001974
GA
103TC0700X
Clinical Psychologist
GAPSY001974
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00693437A
GA
Enumeration date
01/06/2007
Last updated
11/20/2008
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