Doctor Name: | MR. ROBYN L PUGH-DUNLAP |
NPI Number: | 1023243029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. ED |
License Number: | |
Business Practice Address: | 2200 Grant St Suite 204 Gary, IN - 464043439 |
Business Phone Number: | 2198873570 |
Business Fax Number: | 2198873574 |
Mailing Address: | 2200 Grant St, Suite 204 GARY |
State: | IN |
Postal Code: | 464043439 |
Phone Number: | 2198873570 |
Fax Number: | 2198873574 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |