Provider Demographics
NPI:1598991655
Name:ROBINSON, KATHERINE MARY (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MARY
Last Name:ROBINSON
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 1:823 FOREST AVE
Mailing Address - Street 2:APT 2E
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2424
Mailing Address - Country:US
Mailing Address - Phone:847-436-3805
Mailing Address - Fax:
Practice Address - Street 1:823 FOREST AVE
Practice Address - Street 2:APT 2E
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2424
Practice Address - Country:US
Practice Address - Phone:847-436-3805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist