Provider Demographics
NPI:1891949897
Name:STANTON, ROBIN (MS-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:STANTON
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 1:6 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4233
Mailing Address - Country:US
Mailing Address - Phone:203-791-1930
Mailing Address - Fax:
Practice Address - Street 1:6 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4233
Practice Address - Country:US
Practice Address - Phone:203-791-1930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011424-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist