Provider Demographics
NPI:1659518322
Name:GODSHALK, ROBIN LOUISE (MS, CGC, MHA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LOUISE
Last Name:GODSHALK
Suffix:
Gender:F
Credentials:MS, CGC, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503
Mailing Address - Country:US
Mailing Address - Phone:973-754-2727
Mailing Address - Fax:973-569-9467
Practice Address - Street 1:703 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503
Practice Address - Country:US
Practice Address - Phone:973-754-2727
Practice Address - Fax:973-569-9467
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS