Provider Demographics
NPI:1184490526
Name:BRUCE, ROBIN DEE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:DEE
Last Name:BRUCE
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 1:1701 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-5466
Mailing Address - Country:US
Mailing Address - Phone:904-463-3130
Mailing Address - Fax:
Practice Address - Street 1:1701 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-5466
Practice Address - Country:US
Practice Address - Phone:904-463-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist