Provider Demographics
NPI:1063728798
Name:NEWBREY, ROBYN L (LIMHP)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:NEWBREY
Suffix:
Gender:
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 DAKOTA AVE STE 4B
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-3696
Mailing Address - Country:US
Mailing Address - Phone:712-301-6529
Mailing Address - Fax:402-925-7200
Practice Address - Street 1:3900 DAKOTA AVE STE 4B
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3696
Practice Address - Country:US
Practice Address - Phone:712-301-6529
Practice Address - Fax:402-925-7200
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2074101YM0800X
NE1187101YP2500X
NE1291101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional