Provider Demographics
NPI:1881711638
Name:YOUDIN, ROBERT (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:YOUDIN
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:YOUDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW, LLC
Mailing Address - Street 1:20 NASSAU ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-4509
Mailing Address - Country:US
Mailing Address - Phone:609-924-3319
Mailing Address - Fax:732-290-7556
Practice Address - Street 1:20 NASSAU ST
Practice Address - Street 2:SUITE 401
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-4509
Practice Address - Country:US
Practice Address - Phone:609-924-3319
Practice Address - Fax:732-290-7556
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001328001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical