Provider Demographics
NPI:1760547780
Name:HOLCOMB, ROBIN DAWN (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:DAWN
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:DAWN
Other - Last Name:BELANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:5 ESTHER AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760
Mailing Address - Country:US
Mailing Address - Phone:508-386-5240
Mailing Address - Fax:
Practice Address - Street 1:SOUTH BAY EARLY INTERVENTION
Practice Address - Street 2:1115 WEST CHESTNUT ST
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-559-0473
Practice Address - Fax:508-427-5361
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6630235Z00000X
12022158235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist