Provider Demographics
NPI:1417021981
Name:ROBICHAUD, JULIE-ANNE VICTORIA JOYNER (MA CC SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIE-ANNE
Middle Name:VICTORIA JOYNER
Last Name:ROBICHAUD
Suffix:
Gender:F
Credentials:MA CC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 TAMPA RD
Mailing Address - Street 2:BUILDING A, SUITE 200
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3670
Mailing Address - Country:US
Mailing Address - Phone:727-786-5482
Mailing Address - Fax:727-786-5595
Practice Address - Street 1:3850 TAMPA RD
Practice Address - Street 2:BUILDING A, SUITE 200
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3670
Practice Address - Country:US
Practice Address - Phone:727-786-5482
Practice Address - Fax:727-786-5595
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL224890OtherAMERIGROUP GROUP PROVIDER
FL890550900Medicaid
FLS2432OtherBLUE CROSS BLUE SHIELD
FL881750796Medicaid
FL887150700Medicaid
FL7937623OtherAETNA GROUP THERAPY