Provider Demographics
NPI:1639221849
Name:MUIR, ROBIN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:F
Last Name:MUIR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-4831
Mailing Address - Country:US
Mailing Address - Phone:304-312-0641
Mailing Address - Fax:304-238-9981
Practice Address - Street 1:226 CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-4831
Practice Address - Country:US
Practice Address - Phone:304-312-0641
Practice Address - Fax:304-238-9981
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV759103T00000X
OH5751103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVMAGELLANOther275589000
WVBCBSOther001540607
WVCOMP PSYCHOther245639
WAUNITED BEH. HEALTHOther16412
OH2317817Medicaid
WV9203084000Medicaid
WAVALUE OPTIONSOther456257
WVCIGNAOther2166112