Provider Demographics
NPI:1477023232
Name:SEVIGNY, ROBYN LEE (LMFT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LEE
Last Name:SEVIGNY
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:PO BOX 1501
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-1441
Mailing Address - Country:US
Mailing Address - Phone:916-606-0515
Mailing Address - Fax:
Practice Address - Street 1:200 GATEWAY DR
Practice Address - Street 2:#1501
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-1441
Practice Address - Country:US
Practice Address - Phone:949-416-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist