Provider Demographics
NPI:1548752439
Name:ROBIN BARRE PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:ROBIN BARRE PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BARRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:425-238-2765
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WA
Mailing Address - Zip Code:98236-0746
Mailing Address - Country:US
Mailing Address - Phone:425-238-2765
Mailing Address - Fax:360-579-1747
Practice Address - Street 1:413 LINCOLN AVE STE A
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1524
Practice Address - Country:US
Practice Address - Phone:425-238-2765
Practice Address - Fax:360-579-1747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60754200103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty