Provider Demographics
NPI:1255630638
Name:ROBBINS, EILEEN P (LMFT)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:P
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 ROUTE 49
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16928-9412
Mailing Address - Country:US
Mailing Address - Phone:814-326-4561
Mailing Address - Fax:814-326-4210
Practice Address - Street 1:301 E MAIN ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:PA
Practice Address - Zip Code:16928-9699
Practice Address - Country:US
Practice Address - Phone:814-326-4680
Practice Address - Fax:814-326-4210
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist