Provider Demographics
NPI:1073698254
Name:VOGEL, ROBYN MEREDITH (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:MEREDITH
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MASSACHUSETTS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-5338
Mailing Address - Country:US
Mailing Address - Phone:085-380-9254
Mailing Address - Fax:
Practice Address - Street 1:1666 MASSACHUSETTS AVE STE 3
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5338
Practice Address - Country:US
Practice Address - Phone:085-380-9254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health