Provider Demographics
NPI:1720183445
Name:ROBBINS, LYNDA LOUISE
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:LOUISE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 CHESHIRE PKWY N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-4103
Mailing Address - Country:US
Mailing Address - Phone:763-268-4084
Mailing Address - Fax:763-268-4240
Practice Address - Street 1:1515 N 9TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2523
Practice Address - Country:US
Practice Address - Phone:602-253-3532
Practice Address - Fax:602-251-0170
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5414237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist