Provider Demographics
NPI:1437391927
Name:ROGERS, ROBIN MITCHELL (MCD)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:MITCHELL
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 COLWICK LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8071
Mailing Address - Country:US
Mailing Address - Phone:803-328-9386
Mailing Address - Fax:
Practice Address - Street 1:1364 COLWICK LN
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8071
Practice Address - Country:US
Practice Address - Phone:803-328-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4439235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist