Provider Demographics
NPI:1689845877
Name:SNELL, ROBIN SHEWMAKER
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:SHEWMAKER
Last Name:SNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:SHEWMAKER
Other - Last Name:SNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:5980 TWIN RIVERS DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-3065
Mailing Address - Country:US
Mailing Address - Phone:703-915-2936
Mailing Address - Fax:703-549-4926
Practice Address - Street 1:5980 TWIN RIVERS DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-3065
Practice Address - Country:US
Practice Address - Phone:703-915-2936
Practice Address - Fax:703-549-4926
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health