Provider Demographics
NPI:1205910429
Name:MAYER, ROBIN KAHN
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:KAHN
Last Name:MAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1364
Mailing Address - Country:US
Mailing Address - Phone:415-491-5700
Mailing Address - Fax:
Practice Address - Street 1:1010 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904
Practice Address - Country:US
Practice Address - Phone:415-891-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health