Provider Demographics
NPI:1326445479
Name:ROBINSON, ASHLEY LYNN (MS)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17755 E 1630 RD
Mailing Address - Street 2:
Mailing Address - City:GOULD
Mailing Address - State:OK
Mailing Address - Zip Code:73544-5435
Mailing Address - Country:US
Mailing Address - Phone:580-512-2550
Mailing Address - Fax:580-688-2147
Practice Address - Street 1:415 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:OK
Practice Address - Zip Code:73550-3041
Practice Address - Country:US
Practice Address - Phone:580-688-3616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2615235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist