Provider Demographics
NPI:1225274186
Name:ROBBINS, REBECCA ANN (MS,CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:ANN
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MS,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:PO BOX 195
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:NY
Mailing Address - Zip Code:10921-0195
Mailing Address - Country:US
Mailing Address - Phone:845-651-2251
Mailing Address - Fax:845-651-2258
Practice Address - Street 1:12 FRONT ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5622
Practice Address - Country:US
Practice Address - Phone:845-566-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018502-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12147661OtherAMERICAN SPEECH AND HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE