Provider Demographics
NPI:1922824382
Name:ROBIN HANKS PHD PLLC
Entity type:Organization
Organization Name:ROBIN HANKS PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-259-3016
Mailing Address - Street 1:22 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT RIDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48069-1118
Mailing Address - Country:US
Mailing Address - Phone:248-259-3016
Mailing Address - Fax:
Practice Address - Street 1:333 W 7TH ST STE 190
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2510
Practice Address - Country:US
Practice Address - Phone:248-259-3016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty