Provider Demographics
NPI:1588480776
Name:LISCINSKY, ROBIN (LPCA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:LISCINSKY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3303
Mailing Address - Country:US
Mailing Address - Phone:203-362-7526
Mailing Address - Fax:
Practice Address - Street 1:57 PLAINS RD STE 33
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2529
Practice Address - Country:US
Practice Address - Phone:203-293-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health