Provider Demographics
NPI:1891560199
Name:RENSHAW, ROBERT CHARLES 'CHAD' (LPC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES 'CHAD'
Last Name:RENSHAW
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1436
Mailing Address - Country:US
Mailing Address - Phone:323-377-3266
Mailing Address - Fax:
Practice Address - Street 1:316 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1436
Practice Address - Country:US
Practice Address - Phone:323-377-3266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00986900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health