Provider Demographics
NPI:1275886996
Name:ROBINETTE, DARA GEORGEANN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:GEORGEANN
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 CHARLIE MANN CT
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-2136
Mailing Address - Country:US
Mailing Address - Phone:443-454-1149
Mailing Address - Fax:
Practice Address - Street 1:1750 URBY DR
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2323
Practice Address - Country:US
Practice Address - Phone:410-222-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07225235Z00000X
MD235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist