Provider Demographics
NPI:1154532125
Name:ADAMS, ROBIN LEIGH (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LEIGH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:MANILA
Mailing Address - State:AR
Mailing Address - Zip Code:72442-0193
Mailing Address - Country:US
Mailing Address - Phone:870-561-3889
Mailing Address - Fax:
Practice Address - Street 1:105 W. FLEEMAN
Practice Address - Street 2:
Practice Address - City:MANILA
Practice Address - State:AR
Practice Address - Zip Code:72442-0193
Practice Address - Country:US
Practice Address - Phone:870-561-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP1671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist