Provider Demographics
NPI:1205968724
Name:ROBEY, PATRICIA A (MA, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:ROBEY
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23738 S ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-9308
Mailing Address - Country:US
Mailing Address - Phone:708-755-6056
Mailing Address - Fax:708-758-8252
Practice Address - Street 1:9401 S 53RD CT
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2426
Practice Address - Country:US
Practice Address - Phone:708-423-3361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor