Provider Demographics
NPI:1083117717
Name:FIERSTEIN, ROBIN H (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:H
Last Name:FIERSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 S 17TH ST STE 1705
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6217
Mailing Address - Country:US
Mailing Address - Phone:215-995-4349
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 1705
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6217
Practice Address - Country:US
Practice Address - Phone:215-995-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018151103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical