Provider Demographics
NPI:1922045418
Name:ROBBINS, ROCHELLE ANDERSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:ANDERSON
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROCHELLE
Other - Middle Name:LOUISE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7905 IVY LN
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1211
Mailing Address - Country:US
Mailing Address - Phone:215-378-4958
Mailing Address - Fax:
Practice Address - Street 1:7905 IVY LN
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1211
Practice Address - Country:US
Practice Address - Phone:215-378-4958
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008205L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA875421Medicare ID - Type Unspecified