Provider Demographics
NPI:1518032507
Name:WEISSMAN, ROBYN ANDREA (LCPC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:ANDREA
Last Name:WEISSMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-0012
Mailing Address - Country:US
Mailing Address - Phone:207-778-2188
Mailing Address - Fax:
Practice Address - Street 1:1761 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-3740
Practice Address - Country:US
Practice Address - Phone:207-778-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3321101YM0800X
MEXL2728101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional