Provider Information for 1013677178
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ROBLYNNE MCDUFFIE BOSTIC LCMHC
Sex: Female
NPI: 1013677178
Last Updated: 2024-08-30
Certification Date: 2024-08-30
Certification Date: 2024-08-30
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013677178 | ||||||||||||||
| Enumeration Date | 2021-12-29 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 3203 ARBOR CREST CT FOUNTAIN INN, SC 29644-9049 United States Phone: 803-403-7169 | Fax: | ||||||||||||||
| Primary Practice Address | 7401 CARMEL EXECUTIVE PARK DR STE 210 CHARLOTTE, NC 28226-0406 United States Phone: 704-752-8414 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|