Provider Demographics
NPI:1437674280
Name:ROBERTSON, SHELBY ALINA
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:ALINA
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FALCO ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2450
Mailing Address - Country:US
Mailing Address - Phone:401-633-4291
Mailing Address - Fax:
Practice Address - Street 1:16 GRANITE ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1537
Practice Address - Country:US
Practice Address - Phone:508-278-8643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-12
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist