| Robyn Watchorn Newbrey, Llc | |
|
3900 Dakota Ave Suite 4b South Sioux City NE 68776-3696 | |
| (712) 301-6529 | |
| (402) 925-7200 |
| Full Name | Robyn Watchorn Newbrey, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3900 Dakota Ave, South Sioux City, Nebraska |
| Authorized Official Name and Position | Robyn Lynn Watchorn Newbrey (OWNER) |
| Authorized Official Contact | 7123016529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robyn Watchorn Newbrey, Llc 3900 Dakota Ave Suite 4b South Sioux City NE 68776-3696 Ph: (712) 301-6529 | Robyn Watchorn Newbrey, Llc 3900 Dakota Ave Suite 4b South Sioux City NE 68776-3696 Ph: (712) 301-6529 |
| NPI Number | 1174914360 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174914360 | NPI | - | NPPES |
| 100264787-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1291 (Nebraska) | Primary |
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