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NPI Code Detail

MEDICARE: TAMEKA GABRIELLA ROBINSON M.S. SLP

MEDICARE:   TAMEKA GABRIELLA ROBINSON  M.S. 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
1235Z00000XSpeech-Language Pathologist2202004714VA
2235Z00000XSpeech-Language Pathologist05242MD

General Provider Information

NPI Number : 1679532360
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA GABRIELLA ROBINSON M.S. SLP
Provider Business Mailing Address
First Line : 1400 MERCANTILE LN STE 250
Second Line :
City : LARGO
State : MD
Zip : 20774-5333
Country : US
Telephone Number : 301-322-1714
Fax Number :
Provider Business Practice Location Address
First Line : 1400 MERCANTILE LN STE 250
Second Line :
City : LARGO
State : MD
Zip : 20774-5333
Country : US
Telephone Number : 301-322-1714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 01/13/2012

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