Individual
MISS ROBIN R HOBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
593 OLD POST RD, TOLLAND, CT 06084-2828
(860) 870-1144
(860) 870-1155
Mailing address
PO BOX 763, TOLLAND, CT 06084-0763
(860) 870-1144
(860) 870-1155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002489
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002489CT01
BLUE SHIELD PROVIDER NUMB
CT
Enumeration date
08/11/2006
Last updated
12/16/2020
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