Provider Demographics
NPI:1528071362
Name:FLEISCHMAN, ROBERT IRA (LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:IRA
Last Name:FLEISCHMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S HANLEY RD
Mailing Address - Street 2:SUITE 702
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3415
Mailing Address - Country:US
Mailing Address - Phone:314-721-1995
Mailing Address - Fax:314-862-6385
Practice Address - Street 1:200 S HANLEY RD
Practice Address - Street 2:SUITE 702
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3415
Practice Address - Country:US
Practice Address - Phone:314-721-1995
Practice Address - Fax:314-862-6385
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001504101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health