Provider Demographics
NPI:1487646428
Name:GABLE, ROBYN DAWN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:DAWN
Last Name:GABLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 E CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2447
Mailing Address - Country:US
Mailing Address - Phone:610-444-9665
Mailing Address - Fax:610-444-0584
Practice Address - Street 1:644 E CYPRESS ST
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2447
Practice Address - Country:US
Practice Address - Phone:610-444-9665
Practice Address - Fax:610-444-0584
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015333103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical