Provider Demographics
NPI:1528277571
Name:EMERSON, ROBIN (SLP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:EMERSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:C
Other - Last Name:EMERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1316 MCCASLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-3844
Mailing Address - Country:US
Mailing Address - Phone:580-251-8049
Mailing Address - Fax:
Practice Address - Street 1:1407 N WHISENANT DR
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1650
Practice Address - Country:US
Practice Address - Phone:580-251-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK414235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist