Provider Demographics
NPI:1649785965
Name:DEFILIPPI, ROBIN LEE (LPCC#4196)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEE
Last Name:DEFILIPPI
Suffix:
Gender:F
Credentials:LPCC#4196
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26208 ATHERTON DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8901
Mailing Address - Country:US
Mailing Address - Phone:201-349-5709
Mailing Address - Fax:
Practice Address - Street 1:26485 CARMEL RANCHO BLVD STE 6
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8706
Practice Address - Country:US
Practice Address - Phone:201-588-5395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-08
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC4196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional