Provider Demographics
NPI:1750628780
Name:HUNTER, ROBIN (EDS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:EDS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 A LINDSEY LANE
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6902
Mailing Address - Country:US
Mailing Address - Phone:912-729-2294
Mailing Address - Fax:912-673-9457
Practice Address - Street 1:69 LINDSEY LN
Practice Address - Street 2:STE. A
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6901
Practice Address - Country:US
Practice Address - Phone:912-729-2294
Practice Address - Fax:912-673-9457
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP008077235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist