1184981292 NPI number — MRS. ROBIN LEIGH GUTERMAN LCSW

Table of content: MRS. ROBIN LEIGH GUTERMAN LCSW (NPI 1184981292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184981292 NPI number — MRS. ROBIN LEIGH GUTERMAN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUTERMAN
Provider First Name:
ROBIN
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184981292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 MILL GLEN CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UPPER SADDLE RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07458-1728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-305-7220
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 MILL GLEN CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER SADDLE RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07458-1728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-305-7220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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