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NPI Code Detail

MEDICARE: ROBIN THOMPSON GARNER CCC-SLP

MEDICARE: ROBIN THOMPSON GARNER 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 Pathologist27701CA

General Provider Information

NPI Number : 1437778693
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN THOMPSON GARNER CCC-SLP
Provider Business Mailing Address
First Line : 33 CASTELLANA
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-8890
Country : US
Telephone Number : 303-903-3687
Fax Number :
Provider Business Practice Location Address
First Line : 5050 BARRANCA PKWY
Second Line :
City : IRVINE
State : CA
Zip : 92604-4698
Country : US
Telephone Number : 949-936-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 04/08/2020

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