Provider Demographics
NPI:1609132570
Name:JOHNSTON, ROBIN B (MA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:B
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ABELIA LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3415
Mailing Address - Country:US
Mailing Address - Phone:302-239-1357
Mailing Address - Fax:302-234-2645
Practice Address - Street 1:1006 WILSON RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3449
Practice Address - Country:US
Practice Address - Phone:302-478-3848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral