Provider Demographics
NPI:1619399094
Name:OGG, ROBIN SMITH (CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:SMITH
Last Name:OGG
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 HOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:CHITTENDEN
Mailing Address - State:VT
Mailing Address - Zip Code:05737-9859
Mailing Address - Country:US
Mailing Address - Phone:802-483-6198
Mailing Address - Fax:
Practice Address - Street 1:329 HOLDEN RD
Practice Address - Street 2:
Practice Address - City:CHITTENDEN
Practice Address - State:VT
Practice Address - Zip Code:05737-9859
Practice Address - Country:US
Practice Address - Phone:802-483-6198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTNONE235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist