Provider Demographics
NPI:1689760985
Name:PICHLER, ROBYN J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:J
Last Name:PICHLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:973 ENOTA AVE NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1700
Mailing Address - Country:US
Mailing Address - Phone:678-696-5851
Mailing Address - Fax:678-696-5852
Practice Address - Street 1:973 ENOTA AVE NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1700
Practice Address - Country:US
Practice Address - Phone:678-696-5851
Practice Address - Fax:678-696-5852
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000884837BMedicaid