Doctor Name: | ROBIN JANE BRODSKY |
NPI Number: | 1477796928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 296 Mouache Rd. Ignacio, CO - 811370296 |
Business Phone Number: | 9705634555 |
Business Fax Number: | 9705634618 |
Mailing Address: | Box 429, IGNACIO |
State: | CO |
Postal Code: | 811370296 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |