National Provider Identifier

Robert Teitelbaum, LMFT

Robert Teitelbaum, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Ithaca, NY and a listed phone number of (607) 379-4191.

NPI 1952455008Ithaca, NYMarriage & Family Therapist

Profile Overview

NPI
1952455008
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
January 23, 2007
Last Updated
December 29, 2012

Practice Location

  • 103 W Seneca St
  • Ithaca, NY 14850-4157

Phone: (607) 379-4191

Mailing Address

  • 212 Monroe St
  • Ithaca, NY 14850-3444

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1952455008
Entity Type
Individual
Last Name
Teitelbaum
First Name
Robert
Name Prefix
Mr.
Credential
LMFT
Mailing Street Address
212 Monroe St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3444
Mailing Country
US
Mailing Phone
(607) 272-9454
Practice Street Address
103 W Seneca St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4157
Practice Country
US
Practice Phone
(607) 379-4191
Enumeration Date
January 23, 2007
Last Updated
December 29, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)