Healthcare Provider Details

I. General information

NPI: 1386797363
Provider Name (Legal Business Name): ANNE R ROBBINS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E LANCASTER AVE SUITE 309
WYNNEWOOD PA
19096-2139
US

IV. Provider business mailing address

1601 GERSON DR
NARBERTH PA
19072-1231
US

V. Phone/Fax

Practice location:
  • Phone: 610-645-5366
  • Fax:
Mailing address:
  • Phone: 610-617-0827
  • Fax: 610-617-8967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPS006168L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: