Provider Demographics
NPI:1033519582
Name:VANEERDEN, ROBIN (MS, NCC, LPC, NADDCC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:VANEERDEN
Suffix:
Gender:F
Credentials:MS, NCC, LPC, NADDCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MULBERRY ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1225
Mailing Address - Country:US
Mailing Address - Phone:607-237-7337
Mailing Address - Fax:
Practice Address - Street 1:4309 LINGLESTOWN RD
Practice Address - Street 2:SUITE 214
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8624
Practice Address - Country:US
Practice Address - Phone:717-412-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health