Robinson, Theresa Marie
Robinson, Theresa Marie is an individual health care provider with primary practice located at 770 Baconsfield Dr Bldg 1 , Macon GA 31211-1496. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Robinson, Theresa Marie can be contacted via phone (478) 841-2772.Contact Information
Primary practice address
770 Baconsfield Dr Bldg 1
Macon GA 31211-1496
Phone: (478) 841-2772
Fax: (478) 841-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP001909 | Georgia |
Profile Details
| NPI number | 1003037748 |
|---|---|
| LBN Legal business name | Robinson, Theresa Marie |
| Credentials | MS-CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1003037748 | NPPES |
| Georgia | MEDICAID | 00868238C |
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