Provider Demographics
NPI:1407157720
Name:EHRLICH, ROBIN NADINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:NADINE
Last Name:EHRLICH
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 1:939 GERRY AVENUE
Mailing Address - Street 2:
Mailing Address - City:LIDO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561
Mailing Address - Country:US
Mailing Address - Phone:631-902-3726
Mailing Address - Fax:631-862-1177
Practice Address - Street 1:5 NORTHFIELD LN
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-3513
Practice Address - Country:US
Practice Address - Phone:631-902-3726
Practice Address - Fax:631-862-1177
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist