Provider Demographics
NPI:1194022897
Name:BLUMBERG, ROBIN M (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:M
Last Name:BLUMBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 OLNEY SANDY SPRING RD STE B
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3502
Mailing Address - Country:US
Mailing Address - Phone:301-570-7500
Mailing Address - Fax:301-570-7504
Practice Address - Street 1:2915 OLNEY SANDY SPRING RD STE B
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3502
Practice Address - Country:US
Practice Address - Phone:301-570-7500
Practice Address - Fax:301-570-7504
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional