Healthcare Provider Details

I. General information

NPI: 1942366786
Provider Name (Legal Business Name): ROBIN SEMEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BROAD STREET
FREEHOLD NJ
07728
US

IV. Provider business mailing address

746 HIGHWAY 34 SUITE 3
MATAWAN NJ
07747-6680
US

V. Phone/Fax

Practice location:
  • Phone: 732-462-7775
  • Fax: 732-566-7727
Mailing address:
  • Phone: 732-264-8878
  • Fax: 732-566-7727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00318000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: