Provider Demographics
NPI:1952812489
Name:SPLAWN, ROBIN RENEE (SLP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:RENEE
Last Name:SPLAWN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:RENEE
Other - Last Name:SEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6502 SLIDE RD STE 2014
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1329
Mailing Address - Country:US
Mailing Address - Phone:806-698-0864
Mailing Address - Fax:
Practice Address - Street 1:6502 SLIDE RD STE 204
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1311
Practice Address - Country:US
Practice Address - Phone:806-698-0864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108972235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist