| Doctor Name: | MRS. ROBIN GAYE STUFFLEBEAN |
| NPI Number: | 1013259969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN PC LICDC |
| License Number: | ICDC081097 |
| Business Practice Address: | 76 Ashwood Dr Tiffin, OH - 448831908 |
| Business Phone Number: | 4194489440 |
| Business Fax Number: | 4194485155 |
| Mailing Address: | 1925 Hayes Ave, SANDUSKY |
| State: | OH |
| Postal Code: | 448704737 |
| Phone Number: | 4195575177 |
| Fax Number: | 4195575179 |
| NPI Enumeration Date: | 03/19/2013 |
| NPI Last Update Date: | 03/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ICDC081097 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |