Provider Demographics
NPI:1972811719
Name:DUPUIS, ROBIN
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 WEBSTER ST
Mailing Address - Street 2:DAVIS ELEMENTARY SCHOOL
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-2226
Mailing Address - Country:US
Mailing Address - Phone:518-483-7802
Mailing Address - Fax:
Practice Address - Street 1:183 WEBSTER ST
Practice Address - Street 2:DAVIS ELEMENTARY SCHOOL
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-2226
Practice Address - Country:US
Practice Address - Phone:518-483-7802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008146-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist