Provider Demographics
NPI:1043824873
Name:ROBIN L ALLIS LSW PSYCHOTHERAPIST
Entity type:Organization
Organization Name:ROBIN L ALLIS LSW PSYCHOTHERAPIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:570-637-1434
Mailing Address - Street 1:326 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:PA
Mailing Address - Zip Code:18810-1616
Mailing Address - Country:US
Mailing Address - Phone:570-637-1434
Mailing Address - Fax:
Practice Address - Street 1:326 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-1616
Practice Address - Country:US
Practice Address - Phone:570-637-1434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health