MEDICARE: ANEDRA 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

General Provider Information

NPI Number	:	1619372711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANEDRA ROBINSON

Provider Business Mailing Address
First Line	:	3711 BLANCHE AVE
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2230
Country	:	US
Telephone Number	:	216-491-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3817 MARTIN LUTHER KING JR DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-2846
Country	:	US
Telephone Number	:	216-491-5700
Fax Number	:

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

Provider Enumeration Date	:	10/31/2014
Last Update Date	:	10/31/2014

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Directions to “ ANEDRA ROBINSON ” Practice Location

Language	Start Address	Practice Location

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