Provider Demographics
NPI:1699797902
Name:KARLIN, ROBERT A (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:KARLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 RAVENS CREST DR E
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2465
Mailing Address - Country:US
Mailing Address - Phone:609-716-0525
Mailing Address - Fax:609-275-4679
Practice Address - Street 1:330 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3524
Practice Address - Country:US
Practice Address - Phone:609-924-7919
Practice Address - Fax:609-924-7019
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1130103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089748Medicare ID - Type UnspecifiedCINICAL PSYCHOLOGIST