MEDICARE: ROBIN CHARLESTON 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	103T00000X	Psychologist	PS017877	PA
2	103T00000X	Psychologist	35S105212	NJ

General Provider Information

NPI Number	:	1851536288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN CHARLESTON PHD

Provider Business Mailing Address
First Line	:	3221 ROUTE 38 STE 201
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-9765
Country	:	US
Telephone Number	:	609-351-3306
Fax Number	:

Provider Business Practice Location Address
First Line	:	3221 ROUTE 38 STE 201
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-9765
Country	:	US
Telephone Number	:	609-351-3306
Fax Number	:

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

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	02/04/2025

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Directions to “ ROBIN CHARLESTON PHD” Practice Location

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