Provider Demographics
NPI:1093960353
Name:USLIP, ROBYN PAMELA (MA,CCC-SLP/TSHH)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:PAMELA
Last Name:USLIP
Suffix:
Gender:F
Credentials:MA,CCC-SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E 72ND ST
Mailing Address - Street 2:APT #12A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4650
Mailing Address - Country:US
Mailing Address - Phone:917-597-1249
Mailing Address - Fax:
Practice Address - Street 1:420 E 72ND ST
Practice Address - Street 2:APT #12A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4650
Practice Address - Country:US
Practice Address - Phone:917-597-1249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-28
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009924-1235Z00000X
CT003297235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist