Provider Demographics
NPI:1558483990
Name:ROBINSON, JENNIFER LYNN (MS)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 1ST AVE
Mailing Address - Street 2:SUITE 200C
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2401
Mailing Address - Country:US
Mailing Address - Phone:303-635-2222
Mailing Address - Fax:303-635-2233
Practice Address - Street 1:340 E 1ST AVE
Practice Address - Street 2:SUITE 200C
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2401
Practice Address - Country:US
Practice Address - Phone:303-635-2222
Practice Address - Fax:303-635-2233
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD490231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist