Individual
BRENDA LEE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LBS
Contact information
Practice address
390 E MAIN ST, EPHRATA, PA 17522-2580
(717) 466-6505
Mailing address
390 E MAIN ST, EPHRATA, PA 17522-2580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103407037-0004
—
PA
Enumeration date
03/22/2021
Last updated
03/22/2021
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