MEDICARE: MS. TERA LYNN ROBINSON M.A., CCC-SLP, M.ED.

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	2279	KS
2	101YP2500X	Professional Counselor	2478	KS
3	101YP2500X	Professional Counselor	6106	OK
4	235Z00000X	Speech-Language Pathologist	4025	OK

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689927675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERA LYNN ROBINSON M.A., CCC-SLP, M.ED.

Provider Business Mailing Address
First Line	:	504 N KANSAS AVE
Second Line	:	SUITE B
City	:	LIBERAL
State	:	KS
Zip	:	67901-3346
Country	:	US
Telephone Number	:	620-604-5274
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 N KANSAS AVE
Second Line	:	SUITE B
City	:	LIBERAL
State	:	KS
Zip	:	67901-3346
Country	:	US
Telephone Number	:	620-604-5274
Fax Number	:

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

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	02/12/2026

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