MEDICARE: MRS. DIANE JOHNSON ROBEY MS 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	2202000919	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568429108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE JOHNSON ROBEY MS CCC SLP

Provider Business Mailing Address
First Line	:	1241 N MAIN STREET
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22802
Country	:	US
Telephone Number	:	540-434-1941
Fax Number	:	540-433-8277

Provider Business Practice Location Address
First Line	:	463 E WASHINGTON ST
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22802
Country	:	US
Telephone Number	:	540-433-3100
Fax Number	:	540-432-6989

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	08/31/2018

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