Provider Demographics
NPI:1013222751
Name:HILLISON, ROBYN ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:ANN
Last Name:HILLISON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6497 VELDA DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-6310
Mailing Address - Country:US
Mailing Address - Phone:850-264-7599
Mailing Address - Fax:
Practice Address - Street 1:6497 VELDA DAIRY RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-6310
Practice Address - Country:US
Practice Address - Phone:850-264-7599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10045235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist