MEDICARE: FELICIA HATEM ROBBLEE LICSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	121762	MA

General Provider Information

NPI Number	:	1245577022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA HATEM ROBBLEE LICSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1472
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91614-0472
Country	:	US
Telephone Number	:	857-246-8392
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1472
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91614-0472
Country	:	US
Telephone Number	:	857-246-8392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	10/29/2024

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