Provider Demographics
NPI:1982793279
Name:D'REAUX-RODGERS, ROBYN ANGEL (MS)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:ANGEL
Last Name:D'REAUX-RODGERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7760 SHRADER RD STE B
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2552
Mailing Address - Country:US
Mailing Address - Phone:804-591-0002
Mailing Address - Fax:804-501-0101
Practice Address - Street 1:7760 SHRADER RD STE B
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2552
Practice Address - Country:US
Practice Address - Phone:804-591-0002
Practice Address - Fax:804-501-0101
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040177561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical