Provider Demographics
NPI:1578615415
Name:ROBBINS, JUDY FREEMAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:FREEMAN
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 PROVENCE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2868
Mailing Address - Country:US
Mailing Address - Phone:336-215-5845
Mailing Address - Fax:
Practice Address - Street 1:431 SPRING GARDEN ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6565
Practice Address - Country:US
Practice Address - Phone:336-215-5845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404919Medicaid