Provider Demographics
NPI:1508070616
Name:BAIN, ROBIN R (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:BAIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:R
Other - Last Name:THIGPEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:3051 SPRING BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6782
Mailing Address - Country:US
Mailing Address - Phone:210-485-8881
Mailing Address - Fax:
Practice Address - Street 1:3051 SPRING BRANCH RD
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6782
Practice Address - Country:US
Practice Address - Phone:210-485-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist