Doctor Name: | MR. ROBERT DENIG |
NPI Number: | 1114093648 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 4002 |
Business Practice Address: | 2255 Lewisville Clemmons Rd Clemmons, NC - 270127463 |
Business Phone Number: | 3367660505 |
Business Fax Number: | 3367660153 |
Mailing Address: | 2255 Lewisville Clemmons Rd, CLEMMONS |
State: | NC |
Postal Code: | 270127463 |
Phone Number: | 3367660505 |
Fax Number: | 3367660153 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |