Provider Demographics
NPI:1699863910
Name:ALFORD, ROBIN RUTH (ST)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:RUTH
Last Name:ALFORD
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 PAINTED HORSE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8851
Mailing Address - Country:US
Mailing Address - Phone:254-722-4059
Mailing Address - Fax:
Practice Address - Street 1:148 PAINTED HORSE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8851
Practice Address - Country:US
Practice Address - Phone:254-722-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15586235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist