Provider Demographics
NPI:1922478072
Name:BILLMEYER, ROBIN (OWNER)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:BILLMEYER
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 WOODSON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:IL
Mailing Address - Zip Code:62236-4351
Mailing Address - Country:US
Mailing Address - Phone:314-604-4495
Mailing Address - Fax:
Practice Address - Street 1:13074 TESSON FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3442
Practice Address - Country:US
Practice Address - Phone:314-894-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist