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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 1366402927 NPPES
Rhode Island MEDICAID RC53476

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