Wiley, Robin C

Wiley, Robin C is an sole proprietor health care provider with primary practice located at 215 Highland Ave Suite C, Haddon Township NJ 08108-2634. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiley, Robin C can be contacted via phone (856) 854-3155.

Contact Information

Primary practice address
215 Highland Ave Suite C Haddon Township NJ 08108-2634
Fax: (609) 747-9968
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05263500 New Jersey

Profile Details

NPI number 1235272840
LBN Legal business name Wiley, Robin C
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1235272840 NPPES
New Jersey MEDICAID 0065161

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