Provider Demographics
NPI:1861533432
Name:SCOTT-CHARBONNEAU, ROBIN E (MA)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:E
Last Name:SCOTT-CHARBONNEAU
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 SENTELL DR.
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-8842
Mailing Address - Country:US
Mailing Address - Phone:865-809-9830
Mailing Address - Fax:
Practice Address - Street 1:9111 CROSS PARK DR
Practice Address - Street 2:STE E475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4533
Practice Address - Country:US
Practice Address - Phone:865-560-2575
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health