MEDICARE: MYRIAM K ROBINSON 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
1	235Z00000X	Speech-Language Pathologist	005420	GA

General Provider Information

NPI Number	:	1023316965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRIAM K ROBINSON CCC-SLP

Provider Business Mailing Address
First Line	:	5190 ISLAND DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-4248
Country	:	US
Telephone Number	:	404-643-6098
Fax Number	:	877-245-3717

Provider Business Practice Location Address
First Line	:	5190 ISLAND DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-4248
Country	:	US
Telephone Number	:	404-643-6098
Fax Number	:	877-245-3717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	06/25/2012

Similar Medicare Providers

1194070599 — PEACH SPEECH SERVICES, LLC
Practice Location Address:

5190 ISLAND DR
STONE MOUNTAIN, GA
30087-4248

Practice Phone: 404-643-6098
Practice Fax: 877-245-3717

1376472175 — GENTLE WAY SOLUTIONS
Practice Location Address:

670 LONGBOW CT
STONE MOUNTAIN, GA
30087-5235

Practice Phone: 470-708-1791
Practice Fax:

1790529592 — ANTHONY NORMAN III
Practice Location Address:

1825 ROCKBRIDGE RD STE 15A
STONE MOUNTAIN, GA
30087-3301

Practice Phone: 470-977-2100
Practice Fax:

1275463622 — ANGELISHEA FERRELL
Practice Location Address:

6169 SOUTHLAND TRCE
STONE MOUNTAIN, GA
30087-4975

Practice Phone: 470-642-9830
Practice Fax:

1184584666 — CHILDREN AND TEEN DENTAL GROUP
Practice Location Address:

5500 LILBURN STONE MOUNTAIN RD STE A
STONE MOUNTAIN, GA
30087-2873

Practice Phone: 770-923-5500
Practice Fax:

1285588673 — VIVIAN SAPPHIRA JACKSON
Practice Location Address:

1227 ROCKBRIDGE RD STE 212
STONE MOUNTAIN, GA
30087-3040

Practice Phone: 770-925-9210
Practice Fax:

Directions to “ MYRIAM K ROBINSON CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.