Bourland, Robin Lynn

Bourland, Robin Lynn is an individual health care provider with primary practice located at 803 E South St , Albany MO 64402-1457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourland, Robin Lynn can be contacted via phone (660) 726-5756.

Contact Information

Primary practice address
803 E South St Albany MO 64402-1457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2005030693 Missouri

Profile Details

NPI number 1649498304
LBN Legal business name Bourland, Robin Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jan 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649498304 NPPES
Missouri MEDICAID 497181602

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