Healthcare Provider Details

I. General information

NPI: 1215045208
Provider Name (Legal Business Name): ROBBIN KAY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 CHURCH RD STE 3B
TOMS RIVER NJ
08753-8182
US

IV. Provider business mailing address

2446 CHURCH RD STE 3B
TOMS RIVER NJ
08753-8182
US

V. Phone/Fax

Practice location:
  • Phone: 732-575-1930
  • Fax: 732-818-0050
Mailing address:
  • Phone: 732-575-1930
  • Fax: 732-818-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35SI00297500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: