Doctor Name: | MRS. ELLEN O'BRYAN ROBEY |
NPI Number: | 1144346354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801057808 |
Business Practice Address: | 26184 Outer Dr Lincoln Park, MI - 481462084 |
Business Phone Number: | 3133897579 |
Business Fax Number: | |
Mailing Address: | 4803 Princess St, DEARBORN HEIGHTS |
State: | MI |
Postal Code: | 481251250 |
Phone Number: | 3132929391 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801057808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |