MEDICARE: MRS. LEANNE ROBINSON

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	108732	TX

General Provider Information

NPI Number	:	1548916117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEANNE ROBINSON

Provider Business Mailing Address
First Line	:	2117 ARCHES PARK DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5643
Country	:	US
Telephone Number	:	616-308-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	4223 BRIARGROVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6604
Country	:	US
Telephone Number	:	469-247-8091
Fax Number	:

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

Provider Enumeration Date	:	02/23/2022
Last Update Date	:	02/23/2022

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Directions to “ MRS. LEANNE ROBINSON ” Practice Location

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