Provider Demographics
NPI:1588773535
Name:ROBB, TOMMYE L (CCC/SLP)
Entity type:Individual
Prefix:
First Name:TOMMYE
Middle Name:L
Last Name:ROBB
Suffix:
Gender:F
Credentials: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:P O BOX 364
Mailing Address - Street 2:TLC OF SOUTHERN & CENTRAL ILLINOIS
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-0364
Mailing Address - Country:US
Mailing Address - Phone:618-985-2181
Mailing Address - Fax:681-985-6055
Practice Address - Street 1:1703 POTEETE
Practice Address - Street 2:TLC OF SOUTHERN & CENTRAL ILLINIOS
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-0364
Practice Address - Country:US
Practice Address - Phone:618-985-2181
Practice Address - Fax:618-985-6055
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist