Provider Demographics
NPI:1891842647
Name:REICHERT, ROBYN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:M
Last Name:REICHERT
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 1:7 PROVIDENCE CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9796
Mailing Address - Country:US
Mailing Address - Phone:215-579-1134
Mailing Address - Fax:215-860-9758
Practice Address - Street 1:638 NEWTOWN YARDLEY RD STE 1H
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1738
Practice Address - Country:US
Practice Address - Phone:215-860-9742
Practice Address - Fax:215-860-9758
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006225L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist