Provider Demographics
NPI:1447651294
Name:ROBBINS, KIMBERLY DEWING (PSYD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:DEWING
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5737 KANAN ROAD
Mailing Address - Street 2:457
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301
Mailing Address - Country:US
Mailing Address - Phone:818-371-4382
Mailing Address - Fax:
Practice Address - Street 1:4055 THOUSAND OAKS BLVD
Practice Address - Street 2:215
Practice Address - City:WESTLAKE
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:818-371-4382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26459103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical