MEDICARE: DR. ROBIN DELANEY PHD

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	106H00000X	Marriage & Family Therapist	4693	SC

General Provider Information

NPI Number	:	1730888736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN DELANEY PHD

Provider Business Mailing Address
First Line	:	4050 BLACKMOOR ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-7160
Country	:	US
Telephone Number	:	843-817-5823
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 JOHNNIE DODDS BLVD STE A
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-6129
Country	:	US
Telephone Number	:	843-884-3888
Fax Number	:

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

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

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