Provider Demographics
NPI:1144855859
Name:GROTH, ROBYN K (LPC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:K
Last Name:GROTH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:K
Other - Last Name:RAUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:700 REGENT ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-2634
Mailing Address - Country:US
Mailing Address - Phone:608-567-4465
Mailing Address - Fax:608-467-9004
Practice Address - Street 1:700 REGENT ST STE 300
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-2634
Practice Address - Country:US
Practice Address - Phone:608-567-4465
Practice Address - Fax:608-467-9004
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7412-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional