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NPI Code Detail

MEDICARE: MRS. RACHELLE LIZETTE ROBY MS, CCC/SP

MEDICARE:  MRS. RACHELLE LIZETTE ROBY  MS, CCC/SP
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 Pathologist3690NM

Other Identifiers

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

General Provider Information

NPI Number : 1588693303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHELLE LIZETTE ROBY MS, CCC/SP
Provider Business Mailing Address
First Line : 41651 NEEDLEROCK RD
Second Line :
City : CRAWFORD
State : CO
Zip : 81415
Country : US
Telephone Number : 970-921-5312
Fax Number : 970-921-5312
Provider Business Practice Location Address
First Line : 41651 NEEDLEROCK RD
Second Line :
City : CRAWFORD
State : CO
Zip : 81415
Country : US
Telephone Number : 970-921-5312
Fax Number : 970-921-5312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 07/17/2013

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Directions to “ MRS. RACHELLE LIZETTE ROBY MS, CCC/SP” Practice Location

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