Provider Demographics
NPI:1043447485
Name:CONGDON, ROBYN LYNN (LPCC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LYNN
Last Name:CONGDON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 FORESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-7751
Mailing Address - Country:US
Mailing Address - Phone:405-853-5201
Mailing Address - Fax:
Practice Address - Street 1:502 W RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-3828
Practice Address - Country:US
Practice Address - Phone:580-234-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health