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NPI Code Detail

MEDICARE: COURTNEY MICHELLE ROBINSON M.S. CCC-SLP

MEDICARE: COURTNEY MICHELLE ROBINSON M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist76509MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
176509OTHERMAMASSACHUSSETTS STATE LICENSE

General Provider Information

NPI Number : 1821528027
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MICHELLE ROBINSON M.S. CCC-SLP
Provider Business Mailing Address
First Line : 98 BOW ST APT 2
Second Line :
City : MEDFORD
State : MA
Zip : 02155-6545
Country : US
Telephone Number : 401-241-3643
Fax Number :
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1291
Country : US
Telephone Number : 978-459-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 06/20/2017

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Directions to “ COURTNEY MICHELLE ROBINSON M.S. CCC-SLP” Practice Location

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