Provider Demographics
NPI:1710775333
Name:LEVINE, ROBYN (LPC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:CT
Mailing Address - Zip Code:06712-1321
Mailing Address - Country:US
Mailing Address - Phone:203-233-2778
Mailing Address - Fax:203-233-2778
Practice Address - Street 1:12 PINECREST DR
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:CT
Practice Address - Zip Code:06712-1321
Practice Address - Country:US
Practice Address - Phone:203-233-2778
Practice Address - Fax:203-233-2778
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional