Provider Demographics
NPI:1215045208
Name:KAY, ROBBIN (PHD)
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2446 CHURCH RD
Mailing Address - Street 2:STE 3B
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-8182
Mailing Address - Country:US
Mailing Address - Phone:732-575-1930
Mailing Address - Fax:732-818-0050
Practice Address - Street 1:2446 CHURCH RD
Practice Address - Street 2:STE 3B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8182
Practice Address - Country:US
Practice Address - Phone:732-575-1930
Practice Address - Fax:732-818-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00297500103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ024244Medicare ID - Type Unspecified