Provider Demographics
NPI:1225882731
Name:ROBYN RODENBURGH INC
Entity Type:Organization
Organization Name:ROBYN RODENBURGH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODENBURGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:319-231-5871
Mailing Address - Street 1:104 BROOKERIDGE DR # 186
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5702
Mailing Address - Country:US
Mailing Address - Phone:319-231-5871
Mailing Address - Fax:888-981-5029
Practice Address - Street 1:142 BROOKERIDGE DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5702
Practice Address - Country:US
Practice Address - Phone:319-231-5871
Practice Address - Fax:888-981-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty