| Doctor Name: | ROBYN L RICKERT |
| NPI Number: | 1013003953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.P.C. |
| License Number: | 2975125 |
| Business Practice Address: | 130 E Walnut St Suite 406 Green Bay, WI - 543014239 |
| Business Phone Number: | 9208841187 |
| Business Fax Number: | 9202274100 |
| Mailing Address: | 130 E Walnut St Ste 406, P.o. Box 1108 GREEN BAY |
| State: | WI |
| Postal Code: | 543014231 |
| Phone Number: | 9208841187 |
| Fax Number: | 9202274100 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2975125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |