Provider Demographics
NPI:1457567778
Name:ROBBINS, HARRIETT B (SLP)
Entity type:Individual
Prefix:MRS
First Name:HARRIETT
Middle Name:B
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BOWMAN COURT
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140
Mailing Address - Country:US
Mailing Address - Phone:317-462-1046
Mailing Address - Fax:317-462-7559
Practice Address - Street 1:21 BOWMAN CT
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-2508
Practice Address - Country:US
Practice Address - Phone:317-462-1046
Practice Address - Fax:317-462-7559
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22000692A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist