Provider Demographics
NPI:1073969846
Name:ROBIE, KATHRYN (SLP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ROBIE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:ROBIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:190 FARMGATE DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:190 FARMGATE DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2847
Practice Address - Country:US
Practice Address - Phone:847-401-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist