Provider Demographics
NPI:1346693405
Name:WASHINGTON, ROBIN (BS SLP-A)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:BS SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 SHEPHERD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5612
Mailing Address - Country:US
Mailing Address - Phone:301-404-4047
Mailing Address - Fax:
Practice Address - Street 1:1218 SHEPHERD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5612
Practice Address - Country:US
Practice Address - Phone:301-404-4047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0003A2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant