Provider Demographics
NPI:1619164944
Name:DEPREE, ROBIN
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:DEPREE
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 1:2781 W RAMSEY ST
Mailing Address - Street 2:1
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-3700
Mailing Address - Country:US
Mailing Address - Phone:951-849-3896
Mailing Address - Fax:
Practice Address - Street 1:2781 W RAMSEY ST
Practice Address - Street 2:1
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3700
Practice Address - Country:US
Practice Address - Phone:951-849-3896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor