Provider Demographics
NPI:1659473304
Name:ROBINSON, BRIANNA JILL (MA)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:JILL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:BRIANNA
Other - Middle Name:JILL
Other - Last Name:ELMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:396 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-5397
Mailing Address - Country:US
Mailing Address - Phone:828-231-4349
Mailing Address - Fax:
Practice Address - Street 1:396 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-5397
Practice Address - Country:US
Practice Address - Phone:828-231-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003556231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist