Healthcare Provider Details

I. General information

NPI: 1336055607
Provider Name (Legal Business Name): ROBYN WEISS M.ED., MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 CATALPA DR
BERKLEY MI
48072-1851
US

IV. Provider business mailing address

2325 CATALPA DR
BERKLEY MI
48072-1851
US

V. Phone/Fax

Practice location:
  • Phone: 248-837-8143
  • Fax:
Mailing address:
  • Phone: 248-837-8143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberPF0000000831637
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401010627
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: