Doctor Name: | MRS. SHANTEL JOY ROBINSON |
NPI Number: | 1780741504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 22004219A |
Business Practice Address: | 1036 S Oden Dr Greenfield, IN - 461409760 |
Business Phone Number: | 3174621368 |
Business Fax Number: | 3174626432 |
Mailing Address: | 1036 S Oden Dr, GREENFIELD |
State: | IN |
Postal Code: | 461409760 |
Phone Number: | 3174621368 |
Fax Number: | 3174626432 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004219A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |