Provider Demographics
NPI:1962618322
Name:SHIFFRIN, ROBIN BARNETT (MSED, MS MFT)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:BARNETT
Last Name:SHIFFRIN
Suffix:
Gender:F
Credentials:MSED, MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4315
Mailing Address - Country:US
Mailing Address - Phone:585-244-6309
Mailing Address - Fax:585-424-5395
Practice Address - Street 1:448 WHITE SPRUCE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1608
Practice Address - Country:US
Practice Address - Phone:585-733-0624
Practice Address - Fax:585-424-5395
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000227106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist