Provider Demographics
NPI:1295088920
Name:ROBIN HINTZ, MA, CCC-SLP, LLC
Entity type:Organization
Organization Name:ROBIN HINTZ, MA, CCC-SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:952-393-6412
Mailing Address - Street 1:18 N 12TH ST BOX 50601
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-0601
Mailing Address - Country:US
Mailing Address - Phone:952-393-6412
Mailing Address - Fax:
Practice Address - Street 1:18 N 12TH ST
Practice Address - Street 2:BOX 50601
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-0601
Practice Address - Country:US
Practice Address - Phone:952-393-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN357187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1831316116OtherINDIVIDUAL-TYPE I