Provider Demographics
NPI:1528448933
Name:ALLEN, ROBERT STEVENS JR (AUD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVENS
Last Name:ALLEN
Suffix:JR
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 UPPER RIVERDALE RD SW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2556
Mailing Address - Country:US
Mailing Address - Phone:770-996-2861
Mailing Address - Fax:
Practice Address - Street 1:275 UPPER RIVERDALE RD SW
Practice Address - Street 2:SUITE 1
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2556
Practice Address - Country:US
Practice Address - Phone:770-996-2861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist