Individual
GREGORY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(407) 690-9765
(540) 857-5386
Mailing address
1030 S JEFFERSON ST, ROANOKE, VA 24016-4418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810-000351
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117747
—
VA
Enumeration date
01/14/2006
Last updated
11/05/2021
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