Provider Demographics
NPI:1891916656
Name:GOLDSTEIN, ROBIN MICHELE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:MICHELE
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 W LEMON TREE PL
Mailing Address - Street 2:# 31
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-949-2075
Mailing Address - Fax:
Practice Address - Street 1:1351 N ALMA SCHOOL RD
Practice Address - Street 2:# 205
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-949-2075
Practice Address - Fax:480-963-2036
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health