Burgess, Robin Lynn
Burgess, Robin Lynn is an individual health care provider with primary practice located at 610 Wampanoag Tr East Bay Mental Health, East Providence RI 02915. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Burgess, Robin Lynn can be contacted via phone (401) 431-9870.Contact Information
Primary practice address
610 Wampanoag Tr East Bay Mental Health
East Providence RI 02915
Phone: (401) 431-9870
Fax: (401) 438-1957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1366402927 |
|---|---|
| LBN Legal business name | Burgess, Robin Lynn |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366402927 | NPPES |
| Rhode Island | MEDICAID | RC53476 |
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