Provider Demographics
NPI:1396804563
Name:PREVE, ROBYN KERLER (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:KERLER
Last Name:PREVE
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 1:5363 WINDY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7359
Mailing Address - Country:US
Mailing Address - Phone:434-823-1473
Mailing Address - Fax:
Practice Address - Street 1:501 FAULCONER DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4980
Practice Address - Country:US
Practice Address - Phone:434-293-5097
Practice Address - Fax:434-296-3670
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002332103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7818361OtherAETNA
VA239367OtherANTHEM BCBS
VA089392OtherSENTARA UBS
VA7818361OtherCHICKERING