Dock, Robin E
Dock, Robin E is an sole proprietor health care provider with primary practice located at 3410 Healy Dr Suite 203, Winston Salem NC 27103-1403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dock, Robin E can be contacted via phone (336) 774-0006.Contact Information
Primary practice address
3410 Healy Dr Suite 203
Winston Salem NC 27103-1403
Phone: (336) 774-0006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003265 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | C-036617 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC9895 | North Carolina |
Profile Details
| NPI number | 1962436295 |
|---|---|
| LBN Legal business name | Dock, Robin E |
| Credentials | PH.D., LPC, CRC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 11th, 2016 - about 8 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 | 1962436295 | NPPES |
| Georgia | MEDICAID | 557746581A |
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