Provider Demographics
NPI:1932557121
Name:DURKEE, ROBIN S
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:S
Last Name:DURKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:S
Other - Last Name:DURKEE-BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:850 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1114
Mailing Address - Country:US
Mailing Address - Phone:303-245-0123
Mailing Address - Fax:
Practice Address - Street 1:850 23RD AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1114
Practice Address - Country:US
Practice Address - Phone:303-245-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker