Provider Demographics
NPI:1821237207
Name:CLEELAND, ROBIN NAUGHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:NAUGHER
Last Name:CLEELAND
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 1:101 E 2ND AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-3177
Mailing Address - Country:US
Mailing Address - Phone:706-291-9522
Mailing Address - Fax:
Practice Address - Street 1:354 S PIEDMONT ST
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2422
Practice Address - Country:US
Practice Address - Phone:706-291-9522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCSW 21731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical