Provider Demographics
NPI:1023356532
Name:RENNIE, ROBYN (PHD, LPCC, NCC, RPTS)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:
Last Name:RENNIE
Suffix:
Gender:F
Credentials:PHD, LPCC, NCC, RPTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 BURLINGTON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4909
Mailing Address - Country:US
Mailing Address - Phone:859-342-6444
Mailing Address - Fax:859-342-0999
Practice Address - Street 1:1655 BURLINGTON PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4909
Practice Address - Country:US
Practice Address - Phone:859-342-6444
Practice Address - Fax:859-342-0999
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional