Provider Demographics
NPI:1184321408
Name:ROBB, BETH SCHMIDT (MACCC-SLP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:SCHMIDT
Last Name:ROBB
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 NATHAN DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2088
Mailing Address - Country:US
Mailing Address - Phone:330-472-5565
Mailing Address - Fax:
Practice Address - Street 1:900 DORAMOR ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2633
Practice Address - Country:US
Practice Address - Phone:330-676-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.06980235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist