Provider Demographics
NPI:1467809269
Name:PUPILLO, ROBI-LYN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROBI-LYN
Middle Name:
Last Name:PUPILLO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 TEN ROD RD
Mailing Address - Street 2:
Mailing Address - City:VOLUNTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06384-1726
Mailing Address - Country:US
Mailing Address - Phone:401-368-8668
Mailing Address - Fax:
Practice Address - Street 1:797 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4018
Practice Address - Country:US
Practice Address - Phone:401-456-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP01702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist