Provider Demographics
NPI:1902144520
Name:ROBINETTE, ELIZABETH W (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:W
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 TYLNEY HALL CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-3024
Mailing Address - Country:US
Mailing Address - Phone:443-244-0601
Mailing Address - Fax:
Practice Address - Street 1:503 TYLNEY HALL CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158-3024
Practice Address - Country:US
Practice Address - Phone:443-244-0601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist