Provider Demographics
NPI:1821250010
Name:RACEY-WEHR, ROBYN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:RACEY-WEHR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 E GREEN LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-7028
Mailing Address - Country:US
Mailing Address - Phone:404-805-2709
Mailing Address - Fax:678-669-2028
Practice Address - Street 1:727 E GREEN LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-7028
Practice Address - Country:US
Practice Address - Phone:404-805-2709
Practice Address - Fax:678-669-2028
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-28
Last Update Date:2008-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004727235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist