Provider Demographics
NPI:1467896092
Name:JAMISON, ROBIN JEAN (MS-CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:JEAN
Last Name:JAMISON
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 1:165 COLFAX DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-5680
Mailing Address - Country:US
Mailing Address - Phone:864-599-8138
Mailing Address - Fax:
Practice Address - Street 1:165 COLFAX DR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5680
Practice Address - Country:US
Practice Address - Phone:864-599-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2615235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist