Provider Demographics
NPI:1124640800
Name:ROBINSON-SNEAD, CHARLES RICK
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:RICK
Last Name:ROBINSON-SNEAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 PAR HAVEN DR APT D24
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3337
Mailing Address - Country:US
Mailing Address - Phone:302-344-2604
Mailing Address - Fax:
Practice Address - Street 1:1058 S GOVERNORS AVE STE 102
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6920
Practice Address - Country:US
Practice Address - Phone:302-382-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional