Provider Demographics
NPI:1083938658
Name:MCGEE, ROBIN (HIS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MCGEE
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LAKE SAINT LOUIS BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2953
Mailing Address - Country:US
Mailing Address - Phone:636-856-3228
Mailing Address - Fax:636-856-3228
Practice Address - Street 1:1728 CLARKSON RD
Practice Address - Street 2:STE D
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4976
Practice Address - Country:US
Practice Address - Phone:636-536-4422
Practice Address - Fax:636-456-5454
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002012706237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist