Provider Demographics
NPI:1245585132
Name:CALDWELL, ROBYN DENISE (BHRS, BS)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:DENISE
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:BHRS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15708 HYDE PARKE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1364
Mailing Address - Country:US
Mailing Address - Phone:405-694-9083
Mailing Address - Fax:
Practice Address - Street 1:15708 HYDE PARKE DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1364
Practice Address - Country:US
Practice Address - Phone:405-694-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor