Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 2626-057 | WI |
Y | 103TC1900X | Counseling Psychologist | LP4767 | MN |
NPI | 1063637627 |
---|---|
Provider Name | Dr. Robin R. Abraham |
First Address | Menomonie, WI 54751-1470 |
Second Address | Minneapolis, MN 55428-5600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |