Provider Demographics
NPI:1558412643
Name:ERNST, ROBYN LEIGH (MS COUNSELING PSYC)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LEIGH
Last Name:ERNST
Suffix:
Gender:F
Credentials:MS COUNSELING PSYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 PARKTON AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1030
Mailing Address - Country:US
Mailing Address - Phone:508-852-6545
Mailing Address - Fax:
Practice Address - Street 1:PEDIATRIC BEHAVIORAL HEALTH
Practice Address - Street 2:148 WORCESTER ST.
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583
Practice Address - Country:US
Practice Address - Phone:508-835-1735
Practice Address - Fax:508-835-1736
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health