Provider Demographics
NPI:1952401051
Name:BIER, ROBIN SHERYL (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:SHERYL
Last Name:BIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BRAINTREE DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2316
Mailing Address - Country:US
Mailing Address - Phone:860-216-0458
Mailing Address - Fax:860-216-0458
Practice Address - Street 1:4 BRAINTREE DR
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-2316
Practice Address - Country:US
Practice Address - Phone:860-216-0458
Practice Address - Fax:860-216-0458
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1027103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT06-1307042OtherFEDERAL TAX ID
CT680000326Medicare PIN
CT06-1307042OtherFEDERAL TAX ID
CT0004557779Medicare UPIN
CTCT1027Medicare UPIN
CT61059Medicare UPIN