Provider Demographics
NPI:1366937161
Name:TREVITT, ROBYN (MA, LMFT-S, CST)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:TREVITT
Suffix:
Gender:X
Credentials:MA, LMFT-S, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6519 21ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6947
Mailing Address - Country:US
Mailing Address - Phone:206-550-8291
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD STREET
Practice Address - Street 2:# 4868
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:206-550-8291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61199429106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist