Provider Demographics
NPI:1467221440
Name:ROBINSON, MACY WOOD (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MACY
Middle Name:WOOD
Last Name:ROBINSON
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 1:12531 WILLOW VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-4382
Mailing Address - Country:US
Mailing Address - Phone:256-683-4558
Mailing Address - Fax:
Practice Address - Street 1:12531 WILLOW VIEW CIR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475-4382
Practice Address - Country:US
Practice Address - Phone:256-683-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3915235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist