Provider Demographics
NPI:1538529458
Name:SHOPE, ROBYN LEIALOHA
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:LEIALOHA
Last Name:SHOPE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ROBYN
Other - Middle Name:LEIALOHA
Other - Last Name:MEDEIROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:891 W IRENE ST
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4152
Mailing Address - Country:US
Mailing Address - Phone:775-419-8423
Mailing Address - Fax:
Practice Address - Street 1:891 W IRENE ST
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4152
Practice Address - Country:US
Practice Address - Phone:775-419-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor