Provider Demographics
NPI:1013058411
Name:ROBBINS, JUDY (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 CONESTOGA WAY
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3360
Mailing Address - Country:US
Mailing Address - Phone:860-633-3992
Mailing Address - Fax:860-430-9517
Practice Address - Street 1:262 CONESTOGA WAY
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3360
Practice Address - Country:US
Practice Address - Phone:860-633-3992
Practice Address - Fax:860-430-9517
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional