Healthcare Provider Details

I. General information

NPI: 1063757524
Provider Name (Legal Business Name): ROBYN SALZMAN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2613 VENETO PL
APEX NC
27502-9650
US

IV. Provider business mailing address

2613 VENETO PL
APEX NC
27502-9650
US

V. Phone/Fax

Practice location:
  • Phone: 631-877-9103
  • Fax:
Mailing address:
  • Phone: 631-877-9103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11747
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number019042-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: