Provider Demographics
NPI:1376085910
Name:YOUNG, ROBYNN (LPC)
Entity Type:Individual
Prefix:
First Name:ROBYNN
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 LLEWELLYN AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5731
Mailing Address - Country:US
Mailing Address - Phone:973-986-0707
Mailing Address - Fax:
Practice Address - Street 1:68 LLEWELLYN AVE
Practice Address - Street 2:APT 1
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5731
Practice Address - Country:US
Practice Address - Phone:973-986-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00561800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional