Provider Demographics
NPI:1174512800
Name:TEOLI, ROBIN JANE MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:JANE MARIE
Last Name:TEOLI
Suffix:
Gender:F
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:PO BOX 6821
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0921
Mailing Address - Country:US
Mailing Address - Phone:304-233-7778
Mailing Address - Fax:304-243-9653
Practice Address - Street 1:40 12TH ST
Practice Address - Street 2:SUITE 222
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3279
Practice Address - Country:US
Practice Address - Phone:304-233-7778
Practice Address - Fax:304-243-9653
Is Sole Proprietor?:No
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1390101YP2500X
OHS13367104100000X
OHF096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist