Healthcare Provider Details

I. General information

NPI: 1144143314
Provider Name (Legal Business Name): GENEVIEVE CLARA REGAN ROBILLARD CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 W PRINCE RD
TUCSON AZ
85705-3024
US

IV. Provider business mailing address

6950 N MARIA PL
TUCSON AZ
85704-4218
US

V. Phone/Fax

Practice location:
  • Phone: 520-696-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: