Healthcare Provider Details

I. General information

NPI: 1386762516
Provider Name (Legal Business Name): ROBERT PAUL DREW AU.D., M.S., CCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 SANTA FE SPGS
PRESCOTT AZ
86305-6214
US

IV. Provider business mailing address

2136 SANTA FE SPGS
PRESCOTT AZ
86305-6214
US

V. Phone/Fax

Practice location:
  • Phone: 928-713-7295
  • Fax:
Mailing address:
  • Phone: 928-713-7295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number105448
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number105448
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: