| Doctor Name: | ROBIN H BRAVEMAN |
| NPI Number: | 1508848581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC A |
| License Number: | 107 |
| Business Practice Address: | 20 Worcester Center Blvd Worcester, MA - 016081312 |
| Business Phone Number: | 5083683103 |
| Business Fax Number: | 5083683104 |
| Mailing Address: | 630 Plantation St, WORCESTER |
| State: | MA |
| Postal Code: | 016052038 |
| Phone Number: | 5083683103 |
| Fax Number: | 5083683104 |
| NPI Enumeration Date: | 11/16/2005 |
| NPI Last Update Date: | 01/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |