Provider Demographics
NPI:1225103997
Name:GIBER, ROBIN ALITA (MA PSYCH)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ALITA
Last Name:GIBER
Suffix:
Gender:F
Credentials:MA PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:30 WARBURTON WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1657
Mailing Address - Country:US
Mailing Address - Phone:413-584-5719
Mailing Address - Fax:413-532-0926
Practice Address - Street 1:1727 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-1919
Practice Address - Country:US
Practice Address - Phone:413-532-0926
Practice Address - Fax:413-532-0928
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health