| Doctor Name: | MRS. MICHELLE N. ROBERTSON |
| NPI Number: | 1164584702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | SLP006205 |
| Business Practice Address: | 125 Creekview Trl Fayetteville, GA - 302147229 |
| Business Phone Number: | 6787648304 |
| Business Fax Number: | 8664646131 |
| Mailing Address: | 815 Rudgate Rd, COLUMBUS |
| State: | GA |
| Postal Code: | 319042930 |
| Phone Number: | 7068887893 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP006205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |