Provider Demographics
NPI:1770618035
Name:APPELBAUM, LAURIE ROBBINS (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ROBBINS
Last Name:APPELBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1639
Mailing Address - Country:US
Mailing Address - Phone:215-646-4206
Mailing Address - Fax:
Practice Address - Street 1:800 CLARMONT AVE
Practice Address - Street 2:SUITE B MCC-WARWICK FAMILY SERVICES
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5705
Practice Address - Country:US
Practice Address - Phone:267-275-7000
Practice Address - Fax:267-525-7014
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043497E2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1157630Medicaid
PA1157630Medicaid