Provider Demographics
NPI:1720236391
Name:TRAUB, CARA ROBBINS (MED, MSR)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:ROBBINS
Last Name:TRAUB
Suffix:
Gender:F
Credentials:MED, MSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 SWAMP FOX LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-5320
Mailing Address - Country:US
Mailing Address - Phone:843-762-5807
Mailing Address - Fax:
Practice Address - Street 1:1233 BEN SAWYER BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4577
Practice Address - Country:US
Practice Address - Phone:843-697-9113
Practice Address - Fax:864-640-8011
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist