Provider Demographics
NPI:1124708615
Name:ROBISON, ASHTON KEMP (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:KEMP
Last Name:ROBISON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:ASHTON
Other - Middle Name:LEIGH
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 HAWN ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-2423
Mailing Address - Country:US
Mailing Address - Phone:903-677-6900
Mailing Address - Fax:
Practice Address - Street 1:104 HAWN ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-2423
Practice Address - Country:US
Practice Address - Phone:903-677-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115631235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist