Provider Demographics
NPI:1336291475
Name:ESTOPINAL, ROBYN M (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:M
Last Name:ESTOPINAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 DENVER DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-3308
Mailing Address - Country:US
Mailing Address - Phone:225-621-2760
Mailing Address - Fax:225-621-2768
Practice Address - Street 1:305 SOUTH BURNSIDE DR.
Practice Address - Street 2:SUITE D
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737
Practice Address - Country:US
Practice Address - Phone:225-621-2760
Practice Address - Fax:225-621-2760
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7521101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health