| Robin A. Brill, Phd,llc | |
|
5807 Long Park Rd Cumming GA 30040-5718 | |
| (770) 886-8488 | |
| Not Available |
| Full Name | Robin A. Brill, Phd,llc |
|---|---|
| Speciality | Psychologist |
| Location | 5807 Long Park Rd, Cumming, Georgia |
| Authorized Official Name and Position | Robin A Brill (PSYCHOLOGIST) |
| Authorized Official Contact | 7708868488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin A. Brill, Phd,llc 5807 Long Park Rd Cumming GA 30040-5718 Ph: (770) 886-8488 | Robin A. Brill, Phd,llc 5807 Long Park Rd Cumming GA 30040-5718 Ph: (770) 886-8488 |
| NPI Number | 1881013621 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Medicare PECOS PAC ID | 9436466786 |
|---|---|
| Medicare Enrollment ID | O20150918000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881013621 | NPI | - | NPPES |
| 00821906 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002263 (Georgia) | Primary |
| Provider Name | Robin A Brill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720137276 PECOS PAC ID: 1658306972 Enrollment ID: I20051005000483 |
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