Basic Information
| Provider Information | |||||||||
| NPI: | 1598173163 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | NATASHA | ||||||||
| MiddleName: | CHLOE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 578 WASHINGTON BLVD | ||||||||
| Address2: | |||||||||
| City: | MARINA DEL REY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902925442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4438042314 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 W FOOTHILL BLVD # 300 | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910062338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235432800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2014 | ||||||||
| LastUpdateDate: | 12/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 35597 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | LCSW85320 | CA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 106H00000X | 85320 | DC | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.