Doctor Name: | ROBIN A RONCHI |
NPI Number: | 1053614974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 23 Central Ave Suite 301 Lynn, MA - 019011220 |
Business Phone Number: | 7814777222 |
Business Fax Number: | 7815988137 |
Mailing Address: | 269 Union St, LYNN |
State: | MA |
Postal Code: | 019011314 |
Phone Number: | 7814777222 |
Fax Number: | 7815988137 |
NPI Enumeration Date: | 12/15/2010 |
NPI Last Update Date: | 12/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |