Doctor Name: | MRS. ROBYN CARRIE ROSIN |
NPI Number: | 1093871592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RAS |
License Number: | RO507101638 |
Business Practice Address: | 6302 Thirteenth Avenue Lucerne, CA - 95458 |
Business Phone Number: | 7072749101 |
Business Fax Number: | |
Mailing Address: | 6099 Roland Dr., P.o.box 384 LUCERNE |
State: | CA |
Postal Code: | 95458 |
Phone Number: | 7072741454 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | RO507101638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |