Provider Demographics
NPI:1851522080
Name:GREENFIELD, ROBIN LYNN (MS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:MACON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2145 VAN GIESEN ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2746
Mailing Address - Country:US
Mailing Address - Phone:509-946-4645
Mailing Address - Fax:509-943-2068
Practice Address - Street 1:2145 VAN GIESEN ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-2746
Practice Address - Country:US
Practice Address - Phone:509-946-4645
Practice Address - Fax:509-943-2068
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60063104101YM0800X
WALH60102887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health