Provider Demographics
NPI:1336536689
Name:ROBERTSON, JANET (MA, MT-BC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4551
Mailing Address - Country:US
Mailing Address - Phone:856-266-5604
Mailing Address - Fax:
Practice Address - Street 1:6 EXETER CT
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4551
Practice Address - Country:US
Practice Address - Phone:856-266-5604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor