Provider Demographics
NPI:1306339379
Name:TREPTOW, ROBIN LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYNN
Last Name:TREPTOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:BEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1601 2ND AVE N STE 623
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3259
Mailing Address - Country:US
Mailing Address - Phone:406-899-1548
Mailing Address - Fax:
Practice Address - Street 1:1601 2ND AVE N STE 623
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3259
Practice Address - Country:US
Practice Address - Phone:406-899-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3745103TC0700X
MTBBH-LCPC-LIC-14253101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical