Doctor Name: | ROBIN C WILEY |
NPI Number: | 1235272840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC05263500 |
Business Practice Address: | 215 Highland Ave Suite C Haddon Township, NJ - 081082634 |
Business Phone Number: | 8568543155 |
Business Fax Number: | 6097479968 |
Mailing Address: | Po Box 636, BURLINGTON |
State: | NJ |
Postal Code: | 080160636 |
Phone Number: | 6097479391 |
Fax Number: | 6097479968 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05263500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |