Provider Demographics
NPI:1922479138
Name:MERKEL-WALSH, ROBYN ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:ANN
Last Name:MERKEL-WALSH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:480 BERGEN BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2818
Mailing Address - Country:US
Mailing Address - Phone:201-945-6200
Mailing Address - Fax:201-945-6201
Practice Address - Street 1:480 BERGEN BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2818
Practice Address - Country:US
Practice Address - Phone:201-945-6200
Practice Address - Fax:201-945-6201
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ41S00305300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist