Provider Demographics
NPI:1447991120
Name:WACHSLER, ROBERT ZEV (LMSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ZEV
Last Name:WACHSLER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6173 DUROCHER
Mailing Address - Street 2:
Mailing Address - City:OUTREMONT
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H2V3Y7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6173 DUROCHER
Practice Address - Street 2:
Practice Address - City:OUTREMONT
Practice Address - State:QUEBEC
Practice Address - Zip Code:H2V3Y7
Practice Address - Country:CA
Practice Address - Phone:514-561-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113604104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty