Provider Demographics
NPI:1902444219
Name:MCROBBIE, WHITNEY ANN (MS, CAS)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ANN
Last Name:MCROBBIE
Suffix:
Gender:F
Credentials:MS, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SISSON RD
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-3502
Mailing Address - Country:US
Mailing Address - Phone:315-244-6518
Mailing Address - Fax:
Practice Address - Street 1:92 NORTH MAIN STEET
Practice Address - Street 2:
Practice Address - City:ST. REGIS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12980
Practice Address - Country:US
Practice Address - Phone:518-856-9421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2639016103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool