Provider Demographics
NPI:1417636432
Name:DUCHOW, ROBBYN MARIE (MA, TLMHC)
Entity Type:Individual
Prefix:
First Name:ROBBYN
Middle Name:MARIE
Last Name:DUCHOW
Suffix:
Gender:F
Credentials:MA, TLMHC
Other - Prefix:
Other - First Name:ROBBYN
Other - Middle Name:MARIE
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4080 1ST AVE NE STE 102A
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3160
Mailing Address - Country:US
Mailing Address - Phone:319-382-2077
Mailing Address - Fax:319-483-6873
Practice Address - Street 1:4080 1ST AVE SE SUITE 102A
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-405-1215
Practice Address - Fax:319-483-6873
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health