Provider Demographics
NPI:1932749587
Name:DUERS, ROBIN
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:DUERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5749 AMBERBROOKE ARCH APT 105
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-9122
Mailing Address - Country:US
Mailing Address - Phone:757-407-5734
Mailing Address - Fax:
Practice Address - Street 1:816 GREENBRIER CIR STE 209
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2642
Practice Address - Country:US
Practice Address - Phone:757-402-0258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-12
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006403103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical