Provider Demographics
NPI:1487312864
Name:WOODRUFF, ROBYN JANE (MFTC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:JANE
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10982 CANNONADE DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7260
Mailing Address - Country:US
Mailing Address - Phone:720-448-3203
Mailing Address - Fax:
Practice Address - Street 1:10982 CANNONADE DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7260
Practice Address - Country:US
Practice Address - Phone:720-448-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014015106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist