Healthcare Provider Details

I. General information

NPI: 1306339379
Provider Name (Legal Business Name): ROBIN LYNN TREPTOW PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN LYNN BEYER M.A.

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N STE 623
GREAT FALLS MT
59401-3259
US

IV. Provider business mailing address

1601 2ND AVE N STE 623
GREAT FALLS MT
59401-3259
US

V. Phone/Fax

Practice location:
  • Phone: 406-899-1548
  • Fax:
Mailing address:
  • Phone: 406-899-1548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBBH-LCPC-LIC-14253
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3745
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: