Provider Demographics
NPI:1588227318
Name:FREYBERG, ROBIN
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:FREYBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 FORWARD AVE # 1219
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2301
Mailing Address - Country:US
Mailing Address - Phone:412-326-9059
Mailing Address - Fax:
Practice Address - Street 1:5831 FORWARD AVE # 1219
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2301
Practice Address - Country:US
Practice Address - Phone:412-326-9059
Practice Address - Fax:412-426-3801
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
PASW136223104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103T00000XBehavioral Health & Social Service ProvidersPsychologist