Provider Demographics
NPI:1023141454
Name:ROBINSON, KATE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:
Last Name:ROBINSON
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 1:3401 BROOK RD # H23
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-4514
Mailing Address - Country:US
Mailing Address - Phone:804-213-0778
Mailing Address - Fax:
Practice Address - Street 1:3401 BROOK RD # H23
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4514
Practice Address - Country:US
Practice Address - Phone:804-213-0778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004885235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist