Provider Demographics
NPI:1699273433
Name:ROBINSON, DIANA M (SLP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5819 W KOLLMEYER CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-5296
Mailing Address - Country:US
Mailing Address - Phone:316-304-6395
Mailing Address - Fax:316-217-9500
Practice Address - Street 1:5819 W KOLLMEYER CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-5296
Practice Address - Country:US
Practice Address - Phone:316-304-6395
Practice Address - Fax:316-217-9500
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty