Provider Demographics
NPI:1497508931
Name:ROBBINS, NICOLE LINDA (SLP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:LINDA
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:LINDA
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1627
Mailing Address - Country:US
Mailing Address - Phone:860-519-3295
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTH ST FL 2
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1967
Practice Address - Country:US
Practice Address - Phone:860-578-1300
Practice Address - Fax:860-951-7729
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty