| Doctor Name: | MR. ROBERT BRUCE HAYNES |
| NPI Number: | 1013118827 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 37PC000421 |
| Business Practice Address: | 440 Benigno Blvd Bellmawr, NJ - 080312517 |
| Business Phone Number: | 6096701937 |
| Business Fax Number: | 8569882998 |
| Mailing Address: | 2255 Old Marlton Pike E, MARLTON |
| State: | NJ |
| Postal Code: | 080532666 |
| Phone Number: | 6094177300 |
| Fax Number: | 8569882998 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC000421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |