Doctor Name: | MS. ROBYN BARON DURST |
NPI Number: | 1396961694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 37PC00355500 |
Business Practice Address: | 20 Schooleys Mountain Rd Long Valley, NJ - 078536231 |
Business Phone Number: | 9732146938 |
Business Fax Number: | 9732146938 |
Mailing Address: | 57 Pleasant Grove Rd, LONG VALLEY |
State: | NJ |
Postal Code: | 078533446 |
Phone Number: | 9732146938 |
Fax Number: | 9732146938 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00355500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |