Provider Demographics
NPI:1043978547
Name:EHLE-MEYER, ROBIN (LMFT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:EHLE-MEYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-0330
Mailing Address - Country:US
Mailing Address - Phone:860-821-0163
Mailing Address - Fax:860-613-5285
Practice Address - Street 1:123 RUNNING PINE RD
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-1563
Practice Address - Country:US
Practice Address - Phone:860-821-0163
Practice Address - Fax:860-613-5285
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2775106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist