Provider Demographics
NPI:1588212468
Name:ROBINSON, CALEN MARIE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CALEN
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 SCHULER AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-6077
Mailing Address - Country:US
Mailing Address - Phone:330-830-3905
Mailing Address - Fax:
Practice Address - Street 1:2420 SCHULER AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-6077
Practice Address - Country:US
Practice Address - Phone:330-830-3905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
OHSP.13630235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist