Provider Demographics
NPI:1811035348
Name:MUSSELWHITE, ROBYN PEEK
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:PEEK
Last Name:MUSSELWHITE
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 1:431 SPRING GARDEN ST
Mailing Address - Street 2:GREENSBORO
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-6564
Mailing Address - Country:US
Mailing Address - Phone:336-854-4450
Mailing Address - Fax:336-235-2183
Practice Address - Street 1:431 SPRING GARDEN ST
Practice Address - Street 2:GREENSBORO
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6564
Practice Address - Country:US
Practice Address - Phone:336-854-4450
Practice Address - Fax:336-235-2183
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC991103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist