Doctor Name: | MRS. ROBIN DAWN HOLCOMB |
NPI Number: | 1760547780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 12022158 |
Business Practice Address: | South Bay Early Intervention 1115 West Chestnut St Brockton, MA - 02301 |
Business Phone Number: | 5085590473 |
Business Fax Number: | 5084275361 |
Mailing Address: | 5 Esther Avenue, NORTH ATTLEBORO |
State: | MA |
Postal Code: | 02760 |
Phone Number: | 5083865240 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12022158 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |