Healthcare Provider Details
I. General information
NPI: 1154593895
Provider Name (Legal Business Name): ROBIN ALLISON SWITZER ED.D. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/01/2008
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 WOODLAWN AVE SUITE 15
O FALLON MO
63366-7646
US
IV. Provider business mailing address
1105 TREETOP VILLAGE DR
BALLWIN MO
63021-7452
US
V. Phone/Fax
- Phone: 636-379-1779
- Fax: 636-634-3496
- Phone: 303-475-3913
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 6019 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 2015039978 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 113 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: