Provider Demographics
NPI:1578612271
Name:VOLIN, ROBERT A (PHD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:VOLIN
Suffix:
Gender:M
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PLAZA W STE 213
Mailing Address - Street 2:SPEECH-LANGUAGE PATHOLOGY
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1572
Mailing Address - Country:US
Mailing Address - Phone:914-594-4262
Mailing Address - Fax:914-594-4853
Practice Address - Street 1:30 PLAZA W STE 213
Practice Address - Street 2:SPEECH-LANGUAGE PATHOLOGY
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1572
Practice Address - Country:US
Practice Address - Phone:914-594-4262
Practice Address - Fax:914-594-4853
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001727-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001727-1OtherSPEECH-LANGUAGE PATHOLOGI