Provider Demographics
NPI:1477073716
Name:LEVITT, ROBIN TRENT (MA)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:TRENT
Last Name:LEVITT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LIZBETH
Other - Last Name:TRENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 GAMAY CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-4210
Mailing Address - Country:US
Mailing Address - Phone:970-692-3469
Mailing Address - Fax:
Practice Address - Street 1:420 N 8TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3307
Practice Address - Country:US
Practice Address - Phone:970-773-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional