Provider Demographics
NPI:1346561859
Name:ROBINSON-SIMAO, GAIL J (MS-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:J
Last Name:ROBINSON-SIMAO
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 1:86 LAKE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-1762
Mailing Address - Country:US
Mailing Address - Phone:401-641-3868
Mailing Address - Fax:
Practice Address - Street 1:86 LAKE VIEW RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-1762
Practice Address - Country:US
Practice Address - Phone:401-641-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist