MEDICARE: ROBIN LISCINSKY LPCA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588480776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN LISCINSKY LPCA

Provider Business Mailing Address
First Line	:	30 GARDEN DR
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06825-3303
Country	:	US
Telephone Number	:	203-362-7526
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 PLAINS RD STE 33
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06461-2529
Country	:	US
Telephone Number	:	203-293-8859
Fax Number	:

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

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/03/2024

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