Individual provider · NPI-1
Dr. Robin Wright Whitfield, ED.D.
Psychologist, Clinical · Park Forest, IL
NPI number1104930114
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1104930114
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robin Wright Whitfield
- Credential
- ED.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2006
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071003885 | IL | Yes |
| 103TS0200X | Psychologist, School | SS881 | FL |
Practice location
230 Main StPark Forest, IL 60466-2098
Phone 404-290-2731
Mailing address
4509 Berringer DrNiceville, FL 32578-4259
Phone 404-290-2731
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