Provider Demographics
NPI:1265669469
Name:ROBART, DEBORAH DIANE (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DIANE
Last Name:ROBART
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-0276
Mailing Address - Country:US
Mailing Address - Phone:406-377-3370
Mailing Address - Fax:406-377-3370
Practice Address - Street 1:122 W TOWNE ST
Practice Address - Street 2:SUITE 201A
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1735
Practice Address - Country:US
Practice Address - Phone:406-377-3370
Practice Address - Fax:406-377-3370
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00005908101YP2500X
MTBBH-LCPC-LIC-22305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional