Provider Demographics
NPI:1023243029
Name:PUGH-DUNLAP, ROBYN L (MS ED)
Entity type:Individual
Prefix:MR
First Name:ROBYN
Middle Name:L
Last Name:PUGH-DUNLAP
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 GRANT ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46404-3439
Mailing Address - Country:US
Mailing Address - Phone:219-887-3570
Mailing Address - Fax:219-887-3574
Practice Address - Street 1:2200 GRANT ST
Practice Address - Street 2:SUITE 204
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-3439
Practice Address - Country:US
Practice Address - Phone:219-887-3570
Practice Address - Fax:219-887-3574
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)