Provider Demographics
NPI:1366969404
Name:ROBINSON, ALEXANDRA M (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ALIX
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1819 CLIFF DR STE F
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1650
Mailing Address - Country:US
Mailing Address - Phone:805-586-2400
Mailing Address - Fax:213-383-4803
Practice Address - Street 1:1819 CLIFF DR STE F
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1650
Practice Address - Country:US
Practice Address - Phone:805-586-2400
Practice Address - Fax:213-383-4803
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAPSY31997103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY31997OtherLICENSE