MEDICARE: MS. NICOLE LINDA ROBBINS SLP CLINICAL FELLOW

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		CT

General Provider Information

NPI Number	:	1497508931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLE LINDA ROBBINS SLP CLINICAL FELLOW

Provider Business Mailing Address
First Line	:	3 GEORGE ST
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-1627
Country	:	US
Telephone Number	:	860-519-3295
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 COURT STREET STE 3
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-1967
Country	:	US
Telephone Number	:	860-613-9930
Fax Number	:	860-613-9952

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

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	01/16/2025

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Directions to “ MS. NICOLE LINDA ROBBINS SLP CLINICAL FELLOW” Practice Location

Language	Start Address	Practice Location

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