Provider Demographics
NPI:1679948475
Name:DAVY, ROBYN EMILY (MA, BC-DMT, LCPC)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:EMILY
Last Name:DAVY
Suffix:
Gender:F
Credentials:MA, BC-DMT, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10416 CAPEHART CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3931
Mailing Address - Country:US
Mailing Address - Phone:202-753-4055
Mailing Address - Fax:
Practice Address - Street 1:9099 RIDGEFIELD DR
Practice Address - Street 2:SUITE 203
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6713
Practice Address - Country:US
Practice Address - Phone:301-693-5931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional