Provider Demographics
NPI:1982188728
Name:RAAB, ROBERT (M-CAP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:RAAB
Suffix:
Gender:M
Credentials:M-CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6313 CORPORATE CT STE 130
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3509
Mailing Address - Country:US
Mailing Address - Phone:239-362-0144
Mailing Address - Fax:
Practice Address - Street 1:6313 CORPORATE CT STE 130
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3509
Practice Address - Country:US
Practice Address - Phone:239-362-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor