Doctor Name: | ROBBIN MYERBERG |
NPI Number: | 1104062470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 13726 S Old State Rd Ellendale, DE - 199413330 |
Business Phone Number: | 3024248080 |
Business Fax Number: | |
Mailing Address: | 13726 S Old State Rd, ELLENDALE |
State: | DE |
Postal Code: | 199413330 |
Phone Number: | 3024248080 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 12/17/2008 |
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: |