Doctor Name: | DR. BETH ROBUCK |
NPI Number: | 1811238108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D.,CCC-SLP |
License Number: | S0615 |
Business Practice Address: | 1864 Kimbrough Rd Germantown, TN - 381383209 |
Business Phone Number: | 9017512593 |
Business Fax Number: | 9017512593 |
Mailing Address: | 1864 Kimbrough Rd, GERMANTOWN |
State: | TN |
Postal Code: | 381383209 |
Phone Number: | 9017512593 |
Fax Number: | 9017512593 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0615 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
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 |