MEDICARE: CARA ROBBINS TRAUB M.ED., MSR

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	4356	SC

General Provider Information

NPI Number	:	1720236391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA ROBBINS TRAUB M.ED., MSR

Provider Business Mailing Address
First Line	:	1427 SWAMP FOX LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-5320
Country	:	US
Telephone Number	:	843-762-5807
Fax Number	:

Provider Business Practice Location Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	SUITE 500
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:	843-697-9113
Fax Number	:	864-640-8011

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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