Doctor Name: | REBECCA ROBINSON |
NPI Number: | 1366407298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 7223 |
Business Practice Address: | 9220 Bass Lake Rd Suite 260 New Hope, MN - 554283000 |
Business Phone Number: | 7635330363 |
Business Fax Number: | |
Mailing Address: | 8401 115th Ln N, CHAMPLIN |
State: | MN |
Postal Code: | 553162769 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |