Provider Demographics
NPI:1164823951
Name:EVERS, ROBYN DENISE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:DENISE
Last Name:EVERS
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 1:2222 E TOBIAS RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-7949
Mailing Address - Country:US
Mailing Address - Phone:810-569-3380
Mailing Address - Fax:
Practice Address - Street 1:2222 E TOBIAS RD
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-7949
Practice Address - Country:US
Practice Address - Phone:810-569-3380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005189235Z00000X
MI7101005668235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist