Provider Demographics
NPI:1457864324
Name:SCHULZ, ROBIN
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:SCHULZ
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 1:6955 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH COLLEGE HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4459
Mailing Address - Country:US
Mailing Address - Phone:513-728-4787
Mailing Address - Fax:
Practice Address - Street 1:6955 GRACE AVE
Practice Address - Street 2:
Practice Address - City:NORTH COLLEGE HILL
Practice Address - State:OH
Practice Address - Zip Code:45239-4459
Practice Address - Country:US
Practice Address - Phone:513-728-4787
Practice Address - Fax:513-728-4787
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.8637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist