Provider Demographics
NPI:1285027607
Name:ROBINSON, DEENA (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:
Last Name:ROBINSON
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 1:2785 REGALDO DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-8131
Mailing Address - Country:US
Mailing Address - Phone:740-706-0686
Mailing Address - Fax:
Practice Address - Street 1:2785 REGALDO DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-8131
Practice Address - Country:US
Practice Address - Phone:740-706-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.6798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH46-3350526OtherNPI: 1497176994