Robinson, Tera Lynn
Robinson, Tera Lynn is an sole proprietor health care provider with primary practice located at 504 N Kansas Ave Suite B, Liberal KS 67901-3346. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Robinson, Tera Lynn can be contacted via phone (620) 604-5274.Contact Information
Primary practice address
504 N Kansas Ave Suite B
Liberal KS 67901-3346
Phone: (620) 604-5274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2279 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2478 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6106 | Oklahoma |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4025 | Oklahoma |
Profile Details
| NPI number | 1689927675 |
|---|---|
| LBN Legal business name | Robinson, Tera Lynn |
| Credentials | M.A., CCC-SLP, M.ED. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Sep 9th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689927675 | NPPES |
| Oklahoma | MEDICAID | 200646380 A | |
| Oklahoma | MEDICAID | 02020374 |
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