Doctor Name: | MR. ALLYN D ROBB |
NPI Number: | 1730402207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 003181 |
Business Practice Address: | 545 Oglethorpe Ave Suite 204 St Simons Island, GA - 315221562 |
Business Phone Number: | 9122684750 |
Business Fax Number: | 8888370039 |
Mailing Address: | 309 Palm St, ST SIMONS ISLAND |
State: | GA |
Postal Code: | 315221562 |
Phone Number: | 9122684750 |
Fax Number: | 8888370039 |
NPI Enumeration Date: | 03/11/2010 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 003181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |