Provider Demographics
NPI:1588038699
Name:DODDS, ROBIN LYNN
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYNN
Last Name:DODDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:TAPKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CENTER FOR AUDIOLOGY SPEECH LANGUAGE AND
Mailing Address - Street 2:NORTHWESTERN UNIVERSITY 2315 CAMPUS DRIVE
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60208-0001
Mailing Address - Country:US
Mailing Address - Phone:847-467-6889
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR AUDIOLOGY SPEECH LANGUAGE AND
Practice Address - Street 2:NORTHWESTERN UNIVERSITY 2315 CAMPUS DRIVE
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60208-0001
Practice Address - Country:US
Practice Address - Phone:847-467-6889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist