Provider Demographics
NPI:1841856465
Name:WOOD, ROBYN E (MSW,LCADC)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:E
Last Name:WOOD
Suffix:
Gender:F
Credentials:MSW,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E JIMMIE LEEDS RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4129
Mailing Address - Country:US
Mailing Address - Phone:609-498-6009
Mailing Address - Fax:609-241-6573
Practice Address - Street 1:313 E JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4129
Practice Address - Country:US
Practice Address - Phone:609-498-6009
Practice Address - Fax:609-241-6573
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00152800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)