Provider Demographics
NPI:1740455740
Name:ROBINSON, ANTHONY (CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
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 1:42318 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-5217
Mailing Address - Country:US
Mailing Address - Phone:734-397-9267
Mailing Address - Fax:
Practice Address - Street 1:42318 OAKLAND DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-5217
Practice Address - Country:US
Practice Address - Phone:734-397-9267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist